Volobuev N N, Chemodurov N T, Zakhar'ian A L, Taran G I, Vorovskiĭ N I, Amer D, Gnezdilova N A, Kirienko S M
Khirurgiia (Mosk). 1995(6):38-40.
Intraoperative complications occurred in 28 (2.8%) and early postoperative complications in 157 (15.7%) out of 1,000 operations for vagotomy in duodenal ulcer (109 truncal, 64 selective, 445 isolated SPV, and 372 SPV combined with draining operations). Postoperative lethality was 1.3%. Controllable types of complications were encountered in 2.6%, prognostic in 9.6%, and non-prognostic in 5.7% of cases. The first two groups of complications accounted for two thirds of the total number and determined the lethal outcome in 0.7% of the fatal cases. Thus, mastering of the operative techniques and realization of the complex of preventive measures allows the postoperative results of vagotomy to be considerably improved.
在1000例十二指肠溃疡迷走神经切断术(109例全胃迷走神经切断术、64例选择性迷走神经切断术、445例孤立性胃左静脉迷走神经切断术和372例胃左静脉迷走神经切断术联合引流手术)中,术中并发症发生28例(2.8%),术后早期并发症发生157例(15.7%)。术后死亡率为1.3%。可控性并发症类型占2.6%,预后性并发症占9.6%,非预后性并发症占5.7%。前两组并发症占总数的三分之二,在0.7%的致死病例中决定了致死结局。因此,掌握手术技术并实施一系列预防措施可显著改善迷走神经切断术的术后效果。