Laparoscopic posterior truncal vagotomy and anterior proximal gastric vagotomy.
Endosc Surg Allied Technol
; 2(2): 113-6, 1994 Apr.
Article
em En
| MEDLINE
| ID: mdl-8081927
ABSTRACT
Simplified parietal cell vagotomies (Taylor's and Hill-Barker's procedures) were proposed more than a decade ago to make the operation easier and faster. Efficacy and safety have proven to be as good as with proximal gastric vagotomy. The Hill-Barker operation is particularly simplified by the laparoscopic approach, which enables the procedure to be performed very precisely. The limited trauma of minimally invasive vagotomy has increased the interest in peptic ulcer surgery, especially for patients with chronic duodenal ulcer disease who cannot or do not want to take long-term continuous medication, or who are resistant to it. We describe our technique of performing the laparoscopic Hill-Barker procedure. Our initial results with eleven patients show no operative mortality and minimal morbidity with early discharge and ulcer of all patients. Of the 9 cases which are evaluable, 8 are pain-free and one had an ulcer recurrence after incomplete vagotomy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vagotomia Troncular
/
Vagotomia Gástrica Proximal
/
Laparoscópios
/
Úlcera Duodenal
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
1994
Tipo de documento:
Article