Laparoscopic Billroth-II Gastrectomy for Benign Gastric Disease.
- Author:
Hyung Ho KIM
1
;
Se Heon CHO
;
Sang Soon KIM
Author Information
1. Department of Surgery, College of Medicine, Dong-A University.
- Publication Type:Original Article
- Keywords:
Totally intra-abdominal laparoscopic B-II gastrectomy;
Laparoscopic-assisted gastrectomy
- MeSH:
Duodenal Ulcer;
Gastrectomy*;
Gastric Outlet Obstruction;
Gastroenterostomy;
Hemorrhage;
Humans;
Mortality;
Peptic Ulcer;
Stomach Diseases*;
Vagotomy, Truncal
- From:Journal of the Korean Surgical Society
1999;56(5):664-670
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: To date, a laparoscopic gastrectomy has been performed by a small number of surgeons around the world, but the laparoscopic approach has been extended to Billroth I and a total gastrectomy. To evaluate the validity of the procedure, we present the results of six patients who underwent a gastrectomy using a laparoscopic technique. METHODS: First, two patients had a totally intra-abdominal laparoscopic B-II gastrectomy, and one of two also had a bilateral truncal vagotomy. The rest had a laparoscopic-assisted gastrectomy. One patient had concurrently an open reduction and an internal fixation with a K-wire for a patellar fracture. Indications were (a) gastric outlet obstruction due to peptic ulcer disease in five patients and (b) duodenal ulcer bleeding in one patient. RESULTS: Except for one patient who had stump leakage, which was solved by conservative therapy, there were no complications or operative mortality. The operating time and the cost were less for the patients who had their operations later in the series and who had laparoscopic-assisted operation. CONCLUSIONS: These forms of laparoscopic gastric surgery for patients with complications of peptic ulcer disease may be useful from the standpoint of minimal access, rapid recovery, less pain, and good cosmesis.
