The laparoscopic posterior truncal vagatomy with anterior gastric seromyotomy has been used to treat chronic duodenal ulcer disease owing in large part to the favorable experience gained with other laparoscopic procedures, such as adhesiolysis,
appendectomy, and cholecystectomy, The indlcation for surgery was intractable chronic duodenal ulcers resistant to optimal medical therapy. The majorty of this method was maintain the normal physiology of the stomach.
We experienced posterior truncal vagatomy with anterior gastric seromyotomy by laparoscopy on 22 cases and laparoscopic primary closure in duodenal ulcer perforation on 17 cases, at the dept. of Surg, Sung Ae hospital, during the period of April
1992 to
September 1994.
There were no morbidity, mortality and the patients were discharged in average 4.5 days after opration.
The acid secretion tests under basal conditions and under insulin stimulation preoperatively and 6 weeks postoperatively were showed a mean decrease, in the basal output of 78% and a mean decrease of 80% in the maximal output.
The fiberscopic findings at postoperative 6 weeks showed a complete healing of the ulcer.
We experienced another clinical reveiw of laparoscopic surgery in duodenal ulcer, such as acute perforation of duodenal ulcer that was successfully treated by laparoscopic oversewing with (or without ) omental patching.
The laparoscopic surgery in duodenal ulcer is thought to be an easy, safe and effective method of treatment but it nedds further experimental practice.
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