Ooi L L, Mack P O
Department of Surgery, Singapore General Hospital.
Ann Acad Med Singap. 1994 Nov;23(6):921-2.
Thoracoscopic vagotomy is a well-established technique in the management of recurrent peptic ulceration after previous abdominal vagotomy. The procedure allows an easy approach to the vagus nerves without having to dissect through dense adhesions from previous surgery. With thoracic vagotomy, the main morbidity is postoperative pain from the thoracotomy incision and rib spreading. Advances in endoscopic camera systems and instrumentation allow thoracic vagotomy to be safely and effectively accomplished by thoracoscopic surgery techniques, with reduced postoperative pain. We describe our experiences with thoracoscopic vagotomy in two cases of recurrent peptic ulceration.
胸腔镜迷走神经切断术是治疗既往腹部迷走神经切断术后复发性消化性溃疡的一种成熟技术。该手术可轻松接近迷走神经，而无需穿过既往手术造成的致密粘连进行解剖。对于胸腔镜迷走神经切断术，主要的并发症是开胸切口和肋骨撑开引起的术后疼痛。内镜摄像系统和器械的进步使胸腔镜迷走神经切断术能够通过胸腔镜手术技术安全有效地完成，术后疼痛减轻。我们描述了两例复发性消化性溃疡患者行胸腔镜迷走神经切断术的经验。
