Cargando…

Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy

BACKGROUND: This study illustrates our experience in treating duodenal ulcer by means of thoracoscopy and laparoscopy over a period of six years. MATERIALS AND METHODS: From October 1991 to October 1998, we submitted 38 patients (31 males and 7 females), average age 51 years (range 22-78 years), wit...

Descripción completa

Detalles Bibliográficos
Autores principales: Croce, E., Olmi, S., Russo, R., Azzola, M., Mastropasqua, E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 1999
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113156/
https://www.ncbi.nlm.nih.gov/pubmed/10527332
_version_ 1782205891849748480
author Croce, E.
Olmi, S.
Russo, R.
Azzola, M.
Mastropasqua, E.
author_facet Croce, E.
Olmi, S.
Russo, R.
Azzola, M.
Mastropasqua, E.
author_sort Croce, E.
collection PubMed
description BACKGROUND: This study illustrates our experience in treating duodenal ulcer by means of thoracoscopy and laparoscopy over a period of six years. MATERIALS AND METHODS: From October 1991 to October 1998, we submitted 38 patients (31 males and 7 females), average age 51 years (range 22-78 years), with duodenal ulcer to vagotomy with minimally invasive access: 23 Hill-Barkers, 2 Taylors, 9 thoracoscopic truncal vagotomies and 4 laparoscopic truncal vagotomies. The patients submitted to thoracoscopic truncal vagotomy had previous gastric surgery (5 ulcers of the neostoma in patients who had undergone gastric resection, 3 hemorrhagic gastritis of the gastric neostoma and 1 incomplete abdominal vagotomy). RESULTS: The average time required for the thorascopic approach was 30 minutes (range 20-40 minutes) with return to normal feeding in 1 day, without any difficulty, and discharge on day 3 (range 2-5 days). The patients were followed for 3-54 months. Twenty-two patients (91.3%) out of 23 submitted to anterior superselective and posterior truncal vagotomy, and the patients submitted to thoracoscopic vagotomy, were pain free without medical therapy. One patient (4.3%) was lost to the follow-up. There was only one relapse (4.3%) after seven months where the patient underwent left thorascopic truncal vagotomy. We had no mortality and no intraoperative or postoperative complications. CONCLUSIONS: In our opinion, minimally invasive treatment of peptic ulcer disease may represent the “gold standard.” It is simple, quick, effective and delivers the same excellent results of open surgery but with minimum trauma.
format Online
Article
Text
id pubmed-3113156
institution National Center for Biotechnology Information
language English
publishDate 1999
publisher Society of Laparoendoscopic Surgeons
record_format MEDLINE/PubMed
spelling pubmed-31131562011-07-12 Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy Croce, E. Olmi, S. Russo, R. Azzola, M. Mastropasqua, E. JSLS Scientific Papers BACKGROUND: This study illustrates our experience in treating duodenal ulcer by means of thoracoscopy and laparoscopy over a period of six years. MATERIALS AND METHODS: From October 1991 to October 1998, we submitted 38 patients (31 males and 7 females), average age 51 years (range 22-78 years), with duodenal ulcer to vagotomy with minimally invasive access: 23 Hill-Barkers, 2 Taylors, 9 thoracoscopic truncal vagotomies and 4 laparoscopic truncal vagotomies. The patients submitted to thoracoscopic truncal vagotomy had previous gastric surgery (5 ulcers of the neostoma in patients who had undergone gastric resection, 3 hemorrhagic gastritis of the gastric neostoma and 1 incomplete abdominal vagotomy). RESULTS: The average time required for the thorascopic approach was 30 minutes (range 20-40 minutes) with return to normal feeding in 1 day, without any difficulty, and discharge on day 3 (range 2-5 days). The patients were followed for 3-54 months. Twenty-two patients (91.3%) out of 23 submitted to anterior superselective and posterior truncal vagotomy, and the patients submitted to thoracoscopic vagotomy, were pain free without medical therapy. One patient (4.3%) was lost to the follow-up. There was only one relapse (4.3%) after seven months where the patient underwent left thorascopic truncal vagotomy. We had no mortality and no intraoperative or postoperative complications. CONCLUSIONS: In our opinion, minimally invasive treatment of peptic ulcer disease may represent the “gold standard.” It is simple, quick, effective and delivers the same excellent results of open surgery but with minimum trauma. Society of Laparoendoscopic Surgeons 1999 /pmc/articles/PMC3113156/ /pubmed/10527332 Text en © 1999 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Croce, E.
Olmi, S.
Russo, R.
Azzola, M.
Mastropasqua, E.
Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy
title Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy
title_full Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy
title_fullStr Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy
title_full_unstemmed Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy
title_short Peptic Ulcer Disease and Thoracoscopic Left Truncal Vagotomy
title_sort peptic ulcer disease and thoracoscopic left truncal vagotomy
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113156/
https://www.ncbi.nlm.nih.gov/pubmed/10527332
work_keys_str_mv AT crocee pepticulcerdiseaseandthoracoscopiclefttruncalvagotomy
AT olmis pepticulcerdiseaseandthoracoscopiclefttruncalvagotomy
AT russor pepticulcerdiseaseandthoracoscopiclefttruncalvagotomy
AT azzolam pepticulcerdiseaseandthoracoscopiclefttruncalvagotomy
AT mastropasquae pepticulcerdiseaseandthoracoscopiclefttruncalvagotomy