Manevich V L, Kharitonov L G, Zeĭnalov S G
Khirurgiia (Mosk). 1990 Mar(3):31-5.
The work deals with the study of the fate of patients who underwent closure of a perforated opening in a duodenal ulcer. In 27-53% of such patients subsequent nonoperative treatment was ineffective and they were subjected to reoperation: resection of the stomach or vagotomy. After comparative evaluation of these two reoperations on the grounds of the clinical data and the secretory and evacuating function of the stomach which had been operated on, the authors give preference to selective proximal vagotomy as an operation that is more physiological and devoid of the short-comings of gastric resection.
这项工作涉及对十二指肠溃疡穿孔口闭合术后患者预后的研究。在这类患者中，27% - 53%随后的非手术治疗无效，需再次手术：胃切除术或迷走神经切断术。基于临床数据以及接受手术的胃的分泌和排空功能，对这两种再次手术进行比较评估后，作者更倾向于选择性近端迷走神经切断术，认为该手术更符合生理，且没有胃切除术的缺点。
