Laparoscopic surgery for duodenal ulcer: First results of a multicentre study applying a personal procedure

Between January 1991 and February 1995 data were gathered on 136 patients operated on in 14 surgical centres. All patients underwent posterior truncal vagotomy (PTV) and anterior linear gastrectomy (ALG) for chronic duodenal ulcer. Recurrence and repeated bleeding were the main indications for surge...

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Bibliographic Details
Published in:	British journal of surgery Vol. 83; no. 4; pp. 547 - 550
Main Authors:	Gomez-Ferrer, F., Balique, J. G., Azagra, S., Bicha-Castelo, H., Castro-Sousa, F., Espalieuh, P., Rodero, D., Estour, E.
Format:	Journal Article
Language:	English
Published:	Bristol John Wiley & Sons, Ltd 01-04-1996 Wiley
Subjects:	Adult Aged Biological and medical sciences Chronic Disease Duodenal Ulcer - surgery Female Humans Laparoscopy Length of Stay Male Medical sciences Middle Aged Prospective Studies Recurrence Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Human Endoscopic surgery Nervous system diseases Prognosis Duodenum Gastrectomy Vagotomy Chronic Treatment Surgery Diseases of the autonomic nervous system Digestive diseases Intestinal disease Adult Ulcer Autonomic neuropathy
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Summary:	Between January 1991 and February 1995 data were gathered on 136 patients operated on in 14 surgical centres. All patients underwent posterior truncal vagotomy (PTV) and anterior linear gastrectomy (ALG) for chronic duodenal ulcer. Recurrence and repeated bleeding were the main indications for surgery. An antireflux technique was simultaneously carried out in 17 patients, while 13 underwent cholecystectomy. There were no peroperative complications or deaths, and the mean duration of operation was 65 (range 25–180) min. Immediate postoperative morbidity rate was 2·9 per cent, with a mean hospital stay of 3·1 (range 2–13) days. A total of 131 patients were evaluated between 6 and 33 (mean 25) months after operation. Of these, 126 (96·2 per cent) were graded as Visick I or II. Four (3·0 per cent) were Visick III, and one patient (0·8 per cent) was considered Visick IV. Gastric function studies were performed in 45 patients before and after operation, with a maximum acid output reduction of 83 per cent 3 months after the operation. Laparoscopic PTV with ALG constitutes a simple, efficient, rapid and safe method in the treatment of patients with chronic duodenal ulcer.
Bibliography:	ArticleID:BJS1800830437 istex:2A5BEED1CC8BE6D86FC8B883A2595FD9870F4F8A ark:/67375/WNG-8ZTZZDWB-C ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23
ISSN:	0007-1323 1365-2168
DOI:	10.1002/bjs.1800830437