Gervaziev V B
Khirurgiia (Mosk). 1995(5):47-50.
The performance of a new operation, precardial proximal vagotomy, for treatment of chronic duodenal ulcer is substantiated, described, and its results are discussed. It consists in division of the proximal vagal branches, stretching to the gastric acid-producing zones, at the level of the cardia, without cutting the blood vessels and sympathetic fibres. This operation in combination with pyloroplasty and temporary drug blockade of the celiac plexus excels in efficacy all the other methods of surgical management of duodenal ulcer. According to wide indications, it was conducted on 149 patients, in 68 of them in combination with the above-named additional interventions. During a 7-year follow-up period of the late results, a recurrent ulcer was encountered in one patient and group III visick trouble in another one.
一种用于治疗慢性十二指肠溃疡的新手术——心前区近端迷走神经切断术的操作方法得到证实并进行了描述，同时讨论了其结果。该手术在于在贲门水平切断延伸至胃酸分泌区的近端迷走神经分支，而不切断血管和交感神经纤维。此手术与幽门成形术以及腹腔神经丛的临时药物阻断相结合，在十二指肠溃疡的所有其他手术治疗方法中疗效卓越。根据广泛的适应证，对149例患者实施了该手术，其中68例患者还进行了上述附加干预措施。在对远期结果进行的7年随访期间，1例患者出现复发性溃疡，另1例出现Ⅲ级维斯克（Visick）并发症。
