Merdzhanov A, Deredzhian Kh, Angelov A
Khirurgiia (Sofiia). 1989;42(2):7-10.
Analysis was made of 893 patients operated for duodenal ulcer. Of these, 872 (97.6 per cent) were operated as nonemergency planned patients; the outcome was fatal in 5 (0.57 per cent). Emergency operative intervention at the acme of the bleeding was performed in 21 patients (2.4 per cent) because of failure to control the bleeding by conservative means. Six of these patients died (24.0 per cent) during the early postoperative period. Highest was the percentage of patients in whom extended gastric resection was made; there were no lethal cases among patients subjected to antrumectomy and truncus resection. Preference is given to truncus vagotomy with sparing resection of the stomach; this is considered a reliable and safe method for stopping the bleeding and curing the patients from the ulcer.
对893例因十二指肠溃疡接受手术的患者进行了分析。其中，872例（97.6%）为择期手术患者；5例（0.57%）手术结果为死亡。21例（2.4%）患者因保守治疗无法控制出血，在出血高峰期进行了急诊手术干预。其中6例患者（24.0%）在术后早期死亡。行扩大胃切除术的患者比例最高；胃窦切除术和胃大部切除术患者中无死亡病例。优先选择保留胃的迷走神经干切断术；这被认为是一种可靠且安全的止血和治愈溃疡患者的方法。
