Sun J M, Zhang P, Shang H
Ann Surg. 1984 Nov;200(5):587-9. doi: 10.1097/00000658-198411000-00005.
In order to completely denervate the parietal cell mass and to prevent the undesirable side effects of highly selective vagotomy, the authors devised a new and simpler modified operative procedure. First, the anterior and posterior leaves of the lesser omentum are divided from the stomach at their attachment 6 cm proximal to the pylorus to the level 2 to 2.5 cm below the esophagogastric junction. Second, a circular seromuscular incision is made at the anterior and posterior wall of the stomach from the lesser curve 2 to 2.5 cm below the cardia to the highest short gastric artery at the greater curve. Forty cases followed for an average period of 21.8 months with satisfactory postoperative results reported.
为了完全去除壁细胞团的神经支配并防止高选择性迷走神经切断术产生不良副作用，作者设计了一种新的、更简单的改良手术方法。首先，将小网膜的前后叶在幽门近端6厘米处的附着点从胃部分离，直至食管胃交界处下方2至2.5厘米处。其次，在胃的前壁和后壁做一个环形浆肌层切口，从贲门下方2至2.5厘米处的小弯侧至大弯侧最高的胃短动脉处。报告了40例患者，平均随访21.8个月，术后结果令人满意。
