Laparoscopic proximal gastric vagotomy.

G B Cadiére, J Himpens, J Bruyns
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Abstract

Proximal gastric vagotomy, considered the conventional surgical treatment of choice for peptic ulcer disease, is now performed laparoscopically. Thirty-three patients underwent the procedure. Seven patients were treated on an emergency basis for perforated peptic ulcer. Morbidity and mortality of the procedure were zero. Patient acceptance (Visick staging) was good to excellent in 22 of 25 patients in follow-up. Laparoscopic proximal gastric vagotomy appears to be a good treatment in chronic peptic ulcer disease even when complicated by an acute perforation.

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腹腔镜胃近端迷走神经切开术。
胃近端迷走神经切开术,被认为是消化性溃疡疾病的常规手术治疗选择,现在在腹腔镜下进行。33名患者接受了手术。7例患者急诊治疗穿孔性消化性溃疡。手术的发病率和死亡率均为零。在随访的25例患者中,有22例患者接受度(Visick分期)为良好至优异。腹腔镜胃近端迷走神经切开术似乎是一个很好的治疗慢性消化性溃疡疾病,即使并发急性穿孔。
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