Bianchi G, Ponzini C F
Chir Ital. 1978 Apr;30(2):125-32.
The Authors present their surgical experience of more than a decade with regard to emergency therapy of perforated duodenal ulcers. The paper covers the case of 124 patients hospitalized urgently and variously subjected to the aspirative method according to Taylor, raphe, vagotomy and pyloroplasty according to Judd, or immediate gastric resection. With regard to the short, medium and long term results, they conclude in favour of immediate vagotomy, free from dangers and mortality, the fairly positive nature of immediate gastric resection, and the failure or at any rate low reliability of the other two methods used.
作者介绍了他们在十二指肠溃疡穿孔急诊治疗方面超过十年的手术经验。本文涵盖了124例紧急住院患者的病例,这些患者根据泰勒的抽吸法、贾德的缝合术、迷走神经切断术和幽门成形术或立即进行胃切除术等不同方法进行治疗。关于短期、中期和长期结果,他们得出结论,支持立即进行迷走神经切断术,该方法无危险且无死亡率,立即进行胃切除术有一定的积极效果,而其他两种使用的方法失败了,或者无论如何可靠性较低。