Axford T C, Clair D G, Bertagnolli M M, Mentzer S J, Sugarbaker D J
Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115.
Ann Thorac Surg. 1993 Jun;55(6):1571-3. doi: 10.1016/0003-4975(93)91115-4.
We report the case of a 40-year-old man with a perforated duodenal ulcer who underwent antrectomy at laparotomy, and in whom standard truncal vagotomy was not technically possible due to an intraabdominal abscess. Thoracoscopic truncal vagotomy performed at the level of the inferior pulmonary vein was successful in completely eliminating symptoms due to peptic ulcer disease without producing clinically significant morbidity. The minimal morbidity and short hospital stay suggest that thoracoscopic truncal vagotomy provides a reasonable alternative in patients with complicated intraabdominal abscesses due to peptic ulcer disease.
我们报告了一例40岁男性十二指肠溃疡穿孔患者，该患者接受了剖腹探查的胃窦切除术，因腹腔内脓肿，技术上无法进行标准的迷走神经干切断术。在肺下静脉水平进行的胸腔镜迷走神经干切断术成功地完全消除了消化性溃疡疾病引起的症状，且未产生具有临床意义的发病率。发病率极低且住院时间短，表明胸腔镜迷走神经干切断术为因消化性溃疡疾病并发腹腔内脓肿的患者提供了一种合理的替代方案。
