腹腔镜高选择性迷走神经切断术。
Laparoscopic highly selective vagotomy.
作者信息
Dallemagne B, Weerts J M, Jehaes C, Markiewicz S, Lombard R
机构信息
Department of Surgery, Centre Hospitalier St Joseph-Espérance, Leige, Belgium.
出版信息
Br J Surg. 1994 Apr;81(4):554-6. doi: 10.1002/bjs.1800810424.
Between February 1991 and August 1992, 35 patients underwent laparoscopic highly selective vagotomy (HSV) for recurrent duodenal ulcer disease. An antireflux procedure was also performed in 25 of these patients. There was no 30-day mortality and morbidity. The mean operating time was 110 (range 85-205) min for HSV and 155 (range 100-300) min for vagotomy and antireflux repair. Follow-up is short but initial postoperative gastric acid secretion studies have demonstrated results similar to those obtained after conventional open HSV. The main advantage of laparoscopic HSV is the reduction of 70 per cent in hospital stay and 50 per cent in the overall recovery period compared with open surgery.
1991年2月至1992年8月期间，35例复发性十二指肠溃疡患者接受了腹腔镜高选择性迷走神经切断术（HSV）。其中25例患者还进行了抗反流手术。无30天死亡率和发病率。HSV的平均手术时间为110（85 - 205）分钟，迷走神经切断术和抗反流修复术的平均手术时间为155（100 - 300）分钟。随访时间较短，但术后初期胃酸分泌研究结果与传统开放性HSV术后相似。与开放手术相比，腹腔镜HSV的主要优点是住院时间减少70%，总恢复期减少50%。
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