Bluestone L, Freed J S, Szuchmacher P H
Surg Gynecol Obstet. 1978 Jul;147(1):21-4.
The interneural incision has clearly been demonstrated to be efficient, being executed rapidly and providing excellent exposure to the right upper abdominal quadrant. The postoperative period is marked by less subjective complaints; decreased narcotic requirements, and increased ease of walking, coughing and deep breathing. The result is improved pulmonary toilet and a negligible incidence of pulmonary complications. At long term observation, there is a scar which is cosmetically preferable, without neuroma or hernia formation and with no complaints of numbness or paresthesias in the area of the incision. For all these reasons, we have concluded that the interneural incision is superior, in the appropriate anatomic situation, than is either a vertical or subcostal incision for biliary tract operations.
神经间切口已被明确证明是有效的，它操作迅速，能很好地暴露右上腹象限。术后患者主观不适较少；对麻醉剂的需求减少，行走、咳嗽和深呼吸也更加轻松。结果是肺部清理改善，肺部并发症的发生率可忽略不计。长期观察发现，切口处有一条外观较好的疤痕，没有神经瘤或疝形成，切口区域也没有麻木或感觉异常的主诉。基于所有这些原因，我们得出结论，在合适的解剖情况下，对于胆道手术，神经间切口比垂直切口或肋下切口更具优势。
