Agossou-Voyeme A K, Hureau J, Germain M A
Laboratoire d'Anatomie, UER Biomédicale des Saints Pères, Paris.
J Chir (Paris). 1990 Mar;127(3):168-72.
Based on a Micropaque arteriography study of 21 stomachs from non-embalmed adults, the authors compare the ischemic consequences of highly selective vagotomy (HSV) with those of anterior seromyotomy (ASM) combined with posterior trunk vagotomy. HSV inevitably produced an avascular band 2-4 cm wide in the lesser curve region. ASM, to be total and effective, needs to produce hemostasis of the submucosal plexus thereby also producing ischemia of the denuded mucososubmucosal band. It is however possible to avoid the submocosal plexus by remaining more superficial; however, it is then necessary to combine an additional neurotomy otherwise the procedure is likely to fail. In any event, the partial ischemia associated with ASM is much less serious than that noted after HSV.
基于对21具未防腐处理的成年人体胃部进行的硫酸钡动脉造影研究，作者比较了高选择性迷走神经切断术（HSV）与前浆膜切开术（ASM）联合后干迷走神经切断术的缺血后果。HSV不可避免地在小弯区域产生一条2 - 4厘米宽的无血管带。ASM若要彻底且有效，需要使黏膜下丛止血，从而也会使裸露的黏膜黏膜下层带产生缺血。然而，通过保持更表浅的操作有可能避开黏膜下丛；不过，此时有必要联合额外的神经切断术，否则该手术可能会失败。无论如何，与ASM相关的局部缺血比HSV后所观察到的缺血要轻得多。
