| Autor: |
Wing Tai Siu, Chung Ngai Tang, Bonita Ka Bo Law, Chun Han Chau, Kwok Kay Yau, George Pei Cheung Yang, Michael Ka Wah Li |
| Předmět: |
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| Zdroj: |
Journal of Laparoendoscopic & Advanced Surgical Techniques; Oct2004, Vol. 14 Issue 5, p266-269, 4p, 2 Charts |
| Abstrakt: |
Objective: Peptic-ulcer-induced gastric outlet obstruction is an indication for operative intervention. The advent of minimal access surgery allows the conventional open procedure to be performed via laparoscopy. Patients and methods: From 1996 to 2000,15 consecutive patients, aged 29 to 75 years, underwent laparoscopic truncal vagotomy and gastrojejunostomy for gastric outlet obstruction. Perioperative data and longterm followup results were analyzed. Results: There were no conversions or perioperative mortality. The mean operative time was 114 minutes. Patients required on average 1 dose of intramuscular pethidine for analgesia. Eleven patients were discharge by postoperative day 10; the remaining 4 patients had delayed gastric emptying which settled with conservative treatment. With an average followup period of 80 months, patients were classified as Visick I (n=7), II (n=5), III (n=1), and IV (n=2). Conclusion: Laparoscopic truncal vagotomy and gastrojejunostomy is technically feasible for patients with benign gastric outlet obstruction and is associated with satisfactory perioperative and longterm outcome. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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