Lytkin M I, Kurygin A A, Eriukhin I A, Rumiantsev V V, Satsukevich V N
Vestn Khir Im I I Grek. 1988 Sep;141(9):3-7.
The article generalizes an experience of a number of surgical collectives of the Military Medical Academy with the surgical treatment of complicated gastroduodenal ulcers by organ-preserving operations. The authors recommend wider use of such interventions in acute complications of ulcer disease (perforation and bleedings). It is important to abstain from performing such operations on planned patients with very high gastric secretion in order to decrease the amount of recurrences after vagotomy, to choose an adequate draining operation in stenosis. In young patients vagotomy should be combined with antrumresection.
本文总结了军事医学院多个外科团队采用保留器官手术治疗复杂性胃十二指肠溃疡的经验。作者建议在溃疡病急性并发症（穿孔和出血）中更广泛地应用此类干预措施。对于胃酸分泌极高的择期患者，避免进行此类手术很重要，以减少迷走神经切断术后的复发率，在狭窄情况下选择合适的引流手术。对于年轻患者，迷走神经切断术应与胃窦切除术相结合。
