Jarczyk G, Jedrzejczyk W
Katedry i Kliniki Chirurgii Ogólnej i Gastroenterologicznej AM w Bydgoszczy z siedziba w Toruniu.
Pol Tyg Lek. 1996 Apr;51(14-18):205-9.
The results of the emergency radical treatment of 285 patients with perforated duodenal ulcer are discussed. The authors compared 4 surgical techniques: 1) truncal vagotomy with traditional antrectomy, 2) truncal vagotomy with mucosal antrectomy, 3) truncal vagotomy with pyloroplasty, and 4) proximal gastric vagotomy. The best early results have been achieved in case of the proximal gastric vagotomy. However, the best late results have been noted in case of vagotomy with mucosal and traditional antrectomy. The overall perioperative mortality was 3.5%. Recurrent ulcer has been mainly observed in patients operated with proximal gastric vagotomy several years after the surgery.
讨论了285例十二指肠溃疡穿孔患者的急诊根治性治疗结果。作者比较了4种手术技术：1）迷走神经干切断术加传统胃窦切除术；2）迷走神经干切断术加黏膜胃窦切除术；3）迷走神经干切断术加幽门成形术；4）近端胃迷走神经切断术。近端胃迷走神经切断术取得了最佳的早期效果。然而，迷走神经切断术加黏膜和传统胃窦切除术取得了最佳的晚期效果。围手术期总死亡率为3.5%。复发性溃疡主要见于接受近端胃迷走神经切断术的患者术后数年。
