Laser laparoscopic vagotomy and pyloromyotomy.
We performed bilateral truncal vagotomy and gastric drainage procedure using standard laparoscopic instruments in five mongrel dogs. The procedure consisted of a transthoracic thoracoscopic bilateral truncal vagotomy and transperitoneal laparoscopic pyloromyotomy. A contact Nd:YAG laser fiber was used. There was no mortality, minimal morbidity, and post-operative gastric emptying was satisfactory. Pathologic studies indicated vagotomy was complete. We believe that this may be the initial step in the development of a simple, safe, and effective endoscopic procedure for the treatment of peptic ulcer disease.
Pietrafitta
J J
JJ
Department of Surgery, Abbott Northwestern Hospital, Minneapolis, Minnesota.
Schultz
L S
LS
Graber
J N
JN
Hickok
D F
DF
D000818:Animals; D004285:Dogs; D005746:Gastric Emptying; D010535:Laparoscopy / Q000379:methods*; D053685:Laser Therapy / Q000379:methods*; D010437:Peptic Ulcer / Q000601:surgery; D011183:Postoperative Complications; D011708:Pylorus / Q000601:surgery*; D015167:Vagotomy, Truncal / Q000379:methods*