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. 1994 May-Aug;67(3-4):159–166.

Minimal access surgery--the renaissance of gastric surgery?

R McCloy 1, R Nair 1
PMCID: PMC2588914  PMID: 7502525

Abstract

Peptic ulcer surgery has been revitalized by the introduction of minimal access techniques for surgery of chronic and perforated peptic ulcer. A wide range of vagotomies, including truncal vagotomy, anterior lesser curve seromyotomy with posterior truncal vagotomy and proximal gastric vagotomy, have been performed laparoscopically. Short-term (two-24 month) follow-up of laparoscopic anterior seromyotomy with posterior truncal vagotomy cases has been promising, but long-term follow-up is required to confirm these early good results. Laparoscopic repair of perforated peptic ulcers has also been described. Initial reports of laparoscopic gastrojejunostomy and Billroth II partial gastrectomy have also appeared. These procedures are technically very demanding and are currently being performed in only a few "centers of excellence" around the world. Cost-benefit analyses of medical treatment with proton-pump inhibitors versus laparoscopic vagotomy are necessary to determine which form of treatment is more economical in the long run. Criteria for patient selection need to be defined and substantiated by audit of outcome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bailey R. W., Flowers J. L., Graham S. M., Zucker K. A. Combined laparoscopic cholecystectomy and selective vagotomy. Surg Laparosc Endosc. 1991 Mar;1(1):45–49. [PubMed] [Google Scholar]
  2. Chisholm E. M., Chung S. C., Sunderland G. T., Leong H. T., Li A. K. Thoracoscopic vagotomy: a new use for the laparoscope. Br J Surg. 1992 Mar;79(3):254–254. doi: 10.1002/bjs.1800790323. [DOI] [PubMed] [Google Scholar]
  3. Costalat G., Dravet F., Noel P., Alquier Y., Vernhet J. Coelioscopic treatment of perforated gastroduodenal ulcer using the ligamentum teres hepatis. Surg Endosc. 1991;5(3):154–155. doi: 10.1007/BF02653225. [DOI] [PubMed] [Google Scholar]
  4. Goh P., Tekant Y., Kum C. K., Isaac J., Shang N. S. Totally intra-abdominal laparoscopic Billroth II gastrectomy. Surg Endosc. 1992 May-Jun;6(3):160–160. doi: 10.1007/BF02309093. [DOI] [PubMed] [Google Scholar]
  5. Hede J. E., Temple J. G., McFarland J. The place of transthoracic vagotomy in the management of recurrent peptic ulceration. Br J Surg. 1977 May;64(5):332–335. doi: 10.1002/bjs.1800640509. [DOI] [PubMed] [Google Scholar]
  6. Hill G. L., Barker M. C. Anterior highly selective vagotomy with posterior truncal vagotomy: a simple technique for denervating the parietal cell mass. Br J Surg. 1978 Oct;65(10):702–705. doi: 10.1002/bjs.1800651010. [DOI] [PubMed] [Google Scholar]
  7. Ingvar C., Adami H. O., Enander L. K., Enskog L., Rydberg B. Clinical results of reoperation after failed highly selective vagotomy. Am J Surg. 1986 Sep;152(3):308–312. doi: 10.1016/0002-9610(86)90263-1. [DOI] [PubMed] [Google Scholar]
  8. Jensen D. M. Economic and health aspects of peptic ulcer disease and H2-receptor antagonists. Am J Med. 1986 Oct 24;81(4B):42–48. doi: 10.1016/0002-9343(86)90599-1. [DOI] [PubMed] [Google Scholar]
  9. Katkhouda N., Mouiel J. A new technique of surgical treatment of chronic duodenal ulcer without laparotomy by videocoelioscopy. Am J Surg. 1991 Mar;161(3):361–364. doi: 10.1016/0002-9610(91)90598-8. [DOI] [PubMed] [Google Scholar]
  10. Kraus T. W., Röhren T., Manner M., Otto G., Kauffmann G. W., Herfarth C. Successful treatment of complete inferior vena cava thrombosis after liver transplantation by thrombolytic therapy. Br J Surg. 1992 Jun;79(6):568–569. doi: 10.1002/bjs.1800790631. [DOI] [PubMed] [Google Scholar]
  11. Kraus T. W., Röhren T., Manner M., Otto G., Kauffmann G. W., Herfarth C. Successful treatment of complete inferior vena cava thrombosis after liver transplantation by thrombolytic therapy. Br J Surg. 1992 Jun;79(6):568–569. doi: 10.1002/bjs.1800790631. [DOI] [PubMed] [Google Scholar]
  12. Kraus T. W., Röhren T., Manner M., Otto G., Kauffmann G. W., Herfarth C. Successful treatment of complete inferior vena cava thrombosis after liver transplantation by thrombolytic therapy. Br J Surg. 1992 Jun;79(6):568–569. doi: 10.1002/bjs.1800790631. [DOI] [PubMed] [Google Scholar]
  13. Laws H. L., McKernan J. B. Endoscopic management of peptic ulcer disease. Ann Surg. 1993 May;217(5):548–556. doi: 10.1097/00000658-199305010-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Laws H. L., Naughton M. J., McKernan J. B. Thoracoscopic vagectomy for recurrent peptic ulcer disease. Surg Laparosc Endosc. 1992 Mar;2(1):24–28. [PubMed] [Google Scholar]
  15. McCloy R., Nair R. Surgery for acid suppression in the 1990s. Baillieres Clin Gastroenterol. 1993 Mar;7(1):129–148. doi: 10.1016/0950-3528(93)90034-p. [DOI] [PubMed] [Google Scholar]
  16. McGuire H. H., Jr, Schubert M. L. Laparoscopic treatment of duodenal ulcer: a plea for clinical trials. Gastroenterology. 1991 Dec;101(6):1744–1745. doi: 10.1016/0016-5085(91)90419-l. [DOI] [PubMed] [Google Scholar]
  17. Mouret P., François Y., Vignal J., Barth X., Lombard-Platet R. Laparoscopic treatment of perforated peptic ulcer. Br J Surg. 1990 Sep;77(9):1006–1006. doi: 10.1002/bjs.1800770916. [DOI] [PubMed] [Google Scholar]
  18. Mulholland M., Morrow C., Dunn D. H., Schwartz M. L., Humphrey E. W. Surgical treatment of duodenal ulcer: a prospective randomized study. Arch Surg. 1982 Apr;117(4):393–397. doi: 10.1001/archsurg.1982.01380280001001. [DOI] [PubMed] [Google Scholar]
  19. Nathanson L. K., Easter D. W., Cuschieri A. Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer. Surg Endosc. 1990;4(4):232–233. doi: 10.1007/BF00316801. [DOI] [PubMed] [Google Scholar]
  20. Neugebauer E., Troidl H., Spangenberger W., Dietrich A., Lefering R. Conventional versus laparoscopic cholecystectomy and the randomized controlled trial. Cholecystectomy Study Group. Br J Surg. 1991 Feb;78(2):150–154. doi: 10.1002/bjs.1800780207. [DOI] [PubMed] [Google Scholar]
  21. Pietrafitta J. J., Schultz L. S., Graber J. N., Hickok D. F. Laser laparoscopic vagotomy and pyloromyotomy. Gastrointest Endosc. 1991 May-Jun;37(3):338–343. doi: 10.1016/s0016-5107(91)70727-x. [DOI] [PubMed] [Google Scholar]
  22. Pollock A. V. Surgical evaluation at the crossroads. Br J Surg. 1993 Aug;80(8):964–966. doi: 10.1002/bjs.1800800807. [DOI] [PubMed] [Google Scholar]
  23. Shapiro S., Gordon L., Dayhkovsky L., Grundfest W., Chandra M. Development of laparoscopic anterior seromyotomy and right posterior truncal vagotomy for ulcer prophylaxis. J Laparoendosc Surg. 1991 Oct;1(5):277–286. [PubMed] [Google Scholar]
  24. Shimi S. M., Nathanson L. K., Cuschieri A. Thoracoscopic long oesophageal myotomy for nutcracker oesophagus: initial experience of a new surgical approach. Br J Surg. 1992 Jun;79(6):533–536. doi: 10.1002/bjs.1800790619. [DOI] [PubMed] [Google Scholar]
  25. Siriwardena A. K., Gunn A. A. Anterior lesser curve seromyotomy and posterior truncal vagotomy for chronic duodenal ulcer: the results at five years. Br J Surg. 1988 Sep;75(9):866–868. doi: 10.1002/bjs.1800750912. [DOI] [PubMed] [Google Scholar]
  26. Sonnenberg A. Costs of medical and surgical treatment of duodenal ulcer. Gastroenterology. 1989 Jun;96(6):1445–1452. doi: 10.1016/0016-5085(89)90511-8. [DOI] [PubMed] [Google Scholar]
  27. Sunderland G. T., Chisholm E. M., Lau W. Y., Chung S. C., Li A. K. Laparoscopic repair of perforated peptic ulcer. Br J Surg. 1992 Aug;79(8):785–785. doi: 10.1002/bjs.1800790825. [DOI] [PubMed] [Google Scholar]
  28. Taylor T. V., Gunn A. A., MacLeod D. A., Van Vroonhoven T. J., Bornman P. C., Terblanche J., Thomson J. W., Lythgoe J. P., MacFarland J. B., Salem R. J. Mortality and morbidity after anterior lesser curve seromyotomy with posterior truncal vagotomy for duodenal ulcer. Br J Surg. 1985 Dec;72(12):950–951. doi: 10.1002/bjs.1800721205. [DOI] [PubMed] [Google Scholar]
  29. Taylor T. V., Gunn A. A., Macleod D. A., MacLennan I. Anterior lesser curve seromyotomy and posterior truncal vagotomy in the treatment of chronic duodenal ulcer. Lancet. 1982 Oct 16;2(8303):846–849. doi: 10.1016/s0140-6736(82)90811-x. [DOI] [PubMed] [Google Scholar]
  30. Whiteley G., Nair R., McCloy R. Laparoscopic gastrointestinal surgery. Scand J Gastroenterol Suppl. 1992;192:136–141. doi: 10.3109/00365529209095994. [DOI] [PubMed] [Google Scholar]
  31. Wilson R. G., Varma J. S. Laparoscopic gastroenterostomy for malignant duodenal obstruction. Br J Surg. 1992 Dec;79(12):1348–1348. doi: 10.1002/bjs.1800791235. [DOI] [PubMed] [Google Scholar]

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