[Comparative results of surgical treatment for perforating and bleeding pyloroduodenal ulcers].
Results of treatment of 1309 patients with perforated and bleeding pyloroduodenal ulcers for 20-years period have been analysed. Resection of the stomach performed in 85 cases resulted in high postoperative lethality which made up in bleeding ulcers 14.8%. Drainage operations of the stomach with excision or suturing of ulcer combined with bilateral truncal vagotomy was performed in 60 patients, postoperative lethality rate being 8.4%. 128 patients underwent selective proximal vagotomy together with pyloro- and duodenoplasty, lethality rate being 1.6%. Combined vagotomy (posterior truncal and anterior sero-muscular) with excision of ulcer, transversal pyloroplasty and duodenoplasty was carried out in 1036 patients (postoperative lethality--2.4%). Excellent and good functional results were achieved in 79.6% of the patients.
Gorbunov
V N
VN
Sytnik
A P
AP
Korenev
N N
NN
Gordeev
S A
SA
Stoliarchuk
E V
EV
Urzhumtseva
G A
GA
D004322:Drainage; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000150:complications / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000150:complications / Q000601:surgery*; D011706:Pyloric Antrum; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014629:Vagotomy, Proximal Gastric