Koutny J, Rubay J, Delmarche C
Acta Chir Belg. 1976 May;75(3):294-305.
Since 1961, the authors have treated 369 patients for a duodenal ulcer. Emergency operation was performed in 69 cases (mortality: 7.2 percent) and elective operation in 300 (mortality: 0.86 percent. Procedures associated truncal vagotomy to hemigastrectomy (257 cases), to pyloroplasty (85 cases) or to gastroenterostomy (27 cases). Three hundred and thirty-nine patients were followed for an average of 8 years. The authors preferred truncal vagotomy associated to hemigastrectomy. This yielded excellent long term results (Visick I) in 89 percent of cases (221 out of 246 reviewed cases), with a very low mortality rate (3 out of 257 or 1.2%) and without known recurrence. (Acta chir. belg., 1976, 75, 294-305).
自1961年以来,作者共治疗了369例十二指肠溃疡患者。其中69例行急诊手术(死亡率:7.2%),300例行择期手术(死亡率:0.86%)。手术方式包括迷走神经干切断术加半胃切除术(257例)、加幽门成形术(85例)或加胃肠吻合术(27例)。339例患者平均随访8年。作者更倾向于迷走神经干切断术加半胃切除术。该术式在89%的病例(246例复查病例中的221例)中取得了优异的长期效果(Visick I级),死亡率极低(257例中有3例,即1.2%),且无已知复发情况。(《比利时外科学报》,1976年,75卷,294 - 305页)