Ivanov N M, Piksin I N, Surin V M, Bruzhukov V P, Samarkin V A
Vestn Khir Im I I Grek. 1988 May;140(5):22-5.
The surgical anatomy of vagus nerves was studied in 25 corpses and in protocols of operations-vagotomies in patients with ulcer disease of the duodenum. The authors consider incomplete vagotomy to be responsible for insufficiently decreased secretion of hydrochloric acid after operation in 24 (23.1%) of 104 patients examined. It was found that both the right and the left vagus nerves had different numbers of trunks and branches. The knowledge of variants of branching and disposition of the vagus nerve branches decreases the risk of incomplete and inadequate vagotomy.
在25具尸体以及十二指肠溃疡病患者迷走神经切断术的手术记录中,对迷走神经的手术解剖进行了研究。作者认为,在104例接受检查的患者中,有24例(23.1%)术后胃酸分泌减少不足是由于不完全性迷走神经切断术所致。研究发现,右侧和左侧迷走神经的干和分支数量各不相同。了解迷走神经分支的变异和分布情况可降低不完全性和不充分性迷走神经切断术的风险。