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  • Title: [Hemipylorectomy with transverse pyloroplasty and vagotomy in perforating and bleeding ulcers of the pyloric canal].
    Author: Gorbunov VN, Barkalin VV, Stoliarchuk EV.
    Journal: Khirurgiia (Mosk); 2001; (6):18-21. PubMed ID: 11517694.
    Abstract:
    Hemipylorectomy with transverse pyloroplasty and vagotomy was made in 922 patients with perforating and bleeding ulcers of pyloric canal. 510 of them had perforation of ulcer, 412--ulcer bleeding. In all the cases ulcer was excised together with anterior semicircle of the pylorus, the defect was sutured transversely. Hemipylorectomy with transverse pyloroplasty was combined with (anterior selective proximal serous-muscular and posterior trunkal) vagotomy. Postoperative lethality in perforation of ulcer was 4.8%, in bleeding--8.2%. From 1 year to 10 years after operation good functional results were achieved in the majority of the patients. This variant of organsaving operation is optimal in complicated ulcers of pyloric canal.
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