Laparoscopic billroth II gastrectomy for completely stricturing duodenal ulcer: technical details.
BACKGROUND
The authors report a series of three patients who underwent laparoscopic gastrectomy for gastric outlet obstruction due to stricturing duodenal ulcer.


METHODS
In all cases an intracorporeal resection of the antrum and an antecolic end to side gastrojejunostomy (Billroth II) were performed. Technical details are discussed in the paper.


RESULTS
Mean operative time was 260 minutes, mean blood loss was 43 millilitres. There were no postoperative complications and all patients were discharged on the fifth postoperative day. A follow up of three years shows that no patient had recurrence and post-gastrectomy syndromes.


CONCLUSIONS
Laparoscopic Billroth II gastrectomy is a safe and feasible procedure with benefits such as quick hospital stay, decreased postoperative pain, good cosmesis and reduced morbidity.
Saccomani
G E
GE
Department of Surgery, Santa Corona Hospital, Pietra Ligure (SV), Italy.
Percivale
A
A
Stella
M
M
Durante
V
V
Pellicci
R
R
D000328:Adult; D004381:Duodenal Ulcer / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D005763:Gastroenterostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D013997:Time Factors