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[近端胃迷走神经切断术不同术式用于治疗胃十二指肠溃疡的临床解剖学基础]

[Clinico-anatomical basis for using the variants of proximal gastric vagotomy in the treatment of gastroduodenal ulcers].

作者信息

Petrov V I, Romanov P A, Gorbunov V N, Naumov B A, Gordeev S A, Egorov O E

出版信息

Khirurgiia (Mosk). 1990 Dec(12):18-23.

PMID:2079810
Abstract

Anatomical examinations (33 cadavers) for studying parasympathetic innervation of the upper abdominal organs formed the basis for developing a new variant of proximal gastric vagotomy--anterior seromyotomy of the body and fundus of the stomach in combination with posterior truncal or posterior selective vagotomy. This variant excludes mobilization of the esophagus and makes it possible to preserve the ligament apparatus of the esophago-gastric junction as well as the parasympathetic innervation of the pancreas, small and large intestine, kidneys, and adrenals, which may be a measure for the prevention of some ++post-vagotomy complications.

摘要

对33具尸体进行解剖检查以研究上腹部器官的副交感神经支配,这为开发一种新的近端胃迷走神经切断术变体奠定了基础——胃体和胃底的前浆膜切开术与后干或后选择性迷走神经切断术相结合。这种变体避免了食管的游离,并有可能保留食管-胃交界处的韧带结构以及胰腺、小肠和大肠、肾脏和肾上腺的副交感神经支配,这可能是预防某些迷走神经切断术后并发症的一种措施。

相似文献

1
[Clinico-anatomical basis for using the variants of proximal gastric vagotomy in the treatment of gastroduodenal ulcers].[近端胃迷走神经切断术不同术式用于治疗胃十二指肠溃疡的临床解剖学基础]
Khirurgiia (Mosk). 1990 Dec(12):18-23.
2
[Anterior seromyotomy of the stomach combined with posterior truncal vagotomy in the treatment of duodenal ulcer complicated by hemorrhage or perforation].胃前壁浆肌层切开术联合迷走神经干切断术治疗十二指肠溃疡合并出血或穿孔
Khirurgiia (Mosk). 1988 Sep(9):18-21.
3
Anterior lesser curvature laser seromyotomy with posterior truncal vagotomy: a potential treatment of peptic ulcer disease.前小弯激光浆膜肌层切开术联合后干迷走神经切断术:消化性溃疡疾病的一种潜在治疗方法。
Br J Surg. 1989 Sep;76(9):949-52. doi: 10.1002/bjs.1800760925.
4
[Anterior seromyotomy of the body and the functional part of the stomach combined with posterior truncal vagotomy and ulcer excision in the surgical treatment of complicated stomach ulcer].[胃体及胃功能部前壁浆肌层切开术联合迷走神经干后切断术及溃疡切除术治疗复杂性胃溃疡]
Khirurgiia (Mosk). 1990 Jul(7):3-8.
5
[Reinnervation of the stomach after vagotomy as a factor in ulcer recurrence].[迷走神经切断术后胃的再神经支配作为溃疡复发的一个因素]
Khirurgiia (Mosk). 1990 Dec(12):146-51.
6
[Ways of reducing the number of recurrences of duodenal ulcer after selective proximal vagotomy].
Khirurgiia (Mosk). 1990 Dec(12):28-32.
7
[Ensuring the completeness of vagotomy in the treatment of duodenal ulcer].[确保十二指肠溃疡治疗中迷走神经切断术的完整性]
Khirurgiia (Mosk). 1990 Dec(12):125-6.
8
[Determining the safety of antral branches of the vagus nerve during selective proximal vagotomy].
Vestn Khir Im I I Grek. 1989 Feb;142(2):20-3.
9
[An anatomical and histological study on the possibility of incompleteness during highly selective vagotomy].[关于高选择性迷走神经切断术中不完全性可能性的解剖学和组织学研究]
Zhonghua Wai Ke Za Zhi. 1984 Jul;22(7):393-5, 444.
10
[Technical variants of performing the proximal gastric vagotomy (review of the literature)].
Khirurgiia (Mosk). 1989 Aug(8):143-8.