Perforating duodenal ulcer treated by laparoscopic highly selective vagotomy
- VernacularTitle:腹腔镜下高选择性迷走神经切断术治疗穿孔性十二指肠溃疡
- Author:
Xun CAI
;
Qiping LU
;
Yanjia CAO
;
Jun CAO
- Publication Type:Journal Article
- Keywords:
DUODENAL ULCER/surg;
PEPTIC ULEER PERFORATION/surg;
LAPAROSOPY;
VAGOTOMY
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effects and the main operative techniques of laparoscopic highly selective vagotomy(LHSV) in the treatment of perforating duodenal ulcer. Methods In twenty patients with perforating duodenal ulcers, laparoscopic repair of the perforation and laparoscopic freeing of the vagus nerves and highly selective vagotomy(LHSV) were performed, using ultrasonic dissector. Results In all twenty cases the operation was successful. No patient was converted into open HSV. Ulcer symptoms of 15 patients disappeared after operation, and follow up gastroscopy after 6 months showed that the ulcers had healed. The postoperative ulcer symptoms of 5 patients were markedly relieved and were easily controlled by medication. Conclusions The treatment of perforative duodenal ulcer by LHSV has the advantages of minor trauma, rapid postoperative recovery and good results. LHSV is a good procedure for the treatment of perforative duodenal ulcer .
