Laparoscopic posterior truncal vagotomy and anterior highly selective vagotomy--a case report.
Laparoscopic vagotomy provides a viable alternative to expensive long-term treatment with H2 antagonists in patients with intractable peptic ulcer disease. The minimally invasive procedure offers reduced postoperative discomfort and improved cosmesis. Here, we report our first case of a posterior truncal vagotomy and anterior highly selective vagotomy performed laparoscopically for the first time in Asia. The surgery was uneventful. Diet was resumed on day 3 and the patient was discharged on day 4. Post-vagotomy acid secretion tests on the third week revealed a dramatic decrease in acid production. With further experience, laparoscopic vagotomy can be an attractive alternative to long term medication in peptic ulcer disease.
Kum
C K
CK
Department of Surgery, National University Hospital, Singapore.
Goh
P
P
D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000601:surgery; D014629:Vagotomy, Proximal Gastric / Q000379:methods*; D015167:Vagotomy, Truncal / Q000379:methods*