Picaud R, Caamano A
Service de Chirurgie, Hôtel-Dieu, Marseille.
J Chir (Paris). 1989 May;126(5):334-7.
High recurrence rates after fundic vagotomy are mainly related to incomplete vagotomy at the level of abdominal oesophagus or antrum. 5-7 cm of oesophagus must be denudated and 6-7 cm of the antrum are left innervated, the most proximal branch of the "crow's foot" being divided. Finally, anterior and posterior peritonealized surfaces are approximated with fundoplicature around the oesophagus.
胃底迷走神经切断术后的高复发率主要与食管腹部或胃窦水平的迷走神经切断不完全有关。必须剥脱5 - 7厘米的食管，保留6 - 7厘米的胃窦神经支配，切断“鸡爪样分支”最近端的分支。最后，食管周围的前后腹膜化表面通过胃底折叠术使其靠近。
