Postlethwait R W
Surg Gynecol Obstet. 1979 Nov;149(5):703-8.
Over a period of 20 years, 1,109 operations were performed for peptic ulcer. The site was duodenal in 873, gastric in 161 and marginal in 75. Eighty-three closures of perforations resulted in eight deaths and 28 second operations. Excluding closure of perforation and operation for marginal ulcer, the definitive operations and postoperative mortality were 446 gastric resections and 3.5 per cent; 181 truncal vagotomy with gastric resection and 1.6 per cent, and 326 truncal vagotomy with drainage and 3.2 per cent. Recurrence after operation for gastric ulcer was 5.3 per cent and for duodenal ulcer, 7.2 per cent. Based on the total number of operations for duodenal ulcer, a recurrence occurred after 348 gastric resections, 9.2 per cent; after 146 vagotomy with resection, 2.0 per cent, and after 309 vagotomy with drainage, 7.4 per cent.
在20年的时间里，共进行了1109例消化性溃疡手术。其中873例溃疡位于十二指肠，161例位于胃，75例位于吻合口边缘。83例穿孔修补术导致8例死亡和28例二次手术。排除穿孔修补术和吻合口溃疡手术，根治性手术及术后死亡率为：446例胃切除术，死亡率3.5%；181例迷走神经干切断术加胃切除术，死亡率1.6%；326例迷走神经干切断术加引流术，死亡率3.2%。胃溃疡手术后复发率为5.3%，十二指肠溃疡为7.2%。基于十二指肠溃疡手术的总数，348例胃切除术后复发率为9.2%；146例迷走神经切断术加胃切除术后复发率为2.0%；309例迷走神经切断术加引流术后复发率为7.4%。
