Müller C, Hartung H C, vom Rath E W, Schacht U
Langenbecks Arch Chir. 1977 Nov;345:209-16. doi: 10.1007/BF01305475.
A standard technique of proximal selective vagotomy is described (PSV) that has proved reliable and safe in a broad multicenter clinical trial. We proceed in six steps: (1) determination of the antral-fundic boundary by anatomic criteria; (2) preliminary vagomotor electrotest; (3) identification of the nerve trunks and branches to be preserved; (4) dissection of the lesser curvature; (5) dissection of the cardia and of the intraabdominal esophagus up to 6 cm above the cardia; and (6) intraoperative assessment of completeness by the vagomotor electrotest. PSV is usually carried out without a drainage procedure.
本文描述了一种近端选择性迷走神经切断术（PSV）的标准技术，该技术在一项广泛的多中心临床试验中已被证明可靠且安全。我们按以下六个步骤进行：（1）根据解剖学标准确定胃窦-胃底边界；（2）进行初步迷走神经运动电测试；（3）识别要保留的神经干和分支；（4）游离胃小弯；（5）游离贲门及腹段食管，直至贲门上方6厘米处；（6）通过迷走神经运动电测试进行术中完整性评估。PSV通常在不进行引流手术的情况下实施。
