Parietal cell vagotomy versus vagotomy-antrectomy: Ulcer surgery in the modern era

作     者：Donahue, PE 

作者机构：Cook Cty Hosp Div Gen Surg Dept Surg Chicago IL 60612 USA Univ Illinois Dept Surg Chicago IL 60612 USA 

出 版 物：《WORLD JOURNAL OF SURGERY》 (世界外科学杂志)

年 卷 期：2000年第24卷第3期

页      面：264-269页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：决策 消化性溃疡/并发症 消化性溃疡/外科学 消化性溃疡出血/外科学 消化性溃疡穿孔/外科学 幽门窦/外科学 迷走神经切断术 胃近端 迷走神经切断术 躯干 人类 

摘      要：Patients with peptic ulcer occasionally develop complications that require surgical intervention, despite the advances in medical treatment and changes in the natural history of disease. The clinical surgeon must make a decision about performing selective vagotomy antrectomy versus highly selective vagotomy, based on the information discussed herein. The goals for operative treatment remain safe correction of the presenting problem, avoidance of perioperative morbidity and mortality, and freedom from disabling postoperative side effects. This paper addresses broad aspects of the details of surgical interventions;because most operative procedures are performed in urgent circumstances in patients who often have a variety of conditions, it is not surprising that there is no best operation suited to every complication of ulcer.