Gorbashko A I, Batchaev O Kh
Vestn Khir Im I I Grek. 1980 Feb;124(2):28-34.
Variations in the structure of vagus nerves studied in 264 organocomplexes of corpses were compared with the data obtained during operations on 122 patients subjected to different modifications of vagotomy. The use of the obtained anatomotopographic picture of the gastric vessels and nerves permitted preserving not only the organ operated upon but also provided the completely undisturbed innervation and blood supply of the stomach and adjacent organs. The results of examination of 176 patients subjected to proximal selective vagotomy and transverse resection of the stomach with the preserved pyloric constrictor showed that at most preserved vascularization and innervation permit to avoid incompetent sutures of anastomosis, its stenosis, dumping syndrome, gastric atonia and diskinesia of biliary ducts.
对264具尸体器官复合体中研究的迷走神经结构变异与122例接受不同迷走神经切断术改良手术的患者手术期间获得的数据进行了比较。利用所获得的胃血管和神经的解剖地形图像，不仅可以保留所操作的器官，还能确保胃和邻近器官的神经支配和血液供应完全不受干扰。对176例接受近端选择性迷走神经切断术和保留幽门括约肌的胃横断切除术的患者的检查结果表明，最大限度地保留血管化和神经支配可避免吻合口缝合不当、狭窄、倾倒综合征、胃无力和胆管运动障碍。
