Objective To explore the effect of laparoscopic highly selective vagotomy (Hill) on the treatment for acute perforating duodenal ulcer. Methods In 19 patients with acute perforating duodenal ulcers, laparoscopic repair of the perforation, laparoscopic freeing of the vagus, cutting off of posterior vagal trunk, and highly selective resection of anterior vagal trunk were performed. Results In all 19 cases the operation was successful. No patient was converted into open highly selective vagotomy. Ulcer symptoms of 17 patients disappeared after operation, and gastroscopy in follow up after 6 months showed that the ulcers had healed. The postoperative ulcer symptoms of 2 patients were markedly relieved and were easily controlled by medication. Conclusion The treatment of acute perforating duodenal ulcer by laparoscopic highly selective vagotomy (Hill) has the advantages of minor trauma, rapid postoperative recovery, and good results, it is a good procedure for the treatment of perforating duodenal ulcer.
Citation：
LI Dening,ZHANG Jie,HUO Hongjun,YAN Yukuang,SUN Hao,LIU Jidong.. Laparoscopic Highly Selective Vagotomy (Hill) for Treating Acute Perforating Duodenal Ulcer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(11): 1183-1185. doi:
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Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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Hill GL, Barker MC. Anterior highly selective vagotomy with posterior truncal vagotomy: a simple technique for denervating the parietal cell mass [J]. Br J Surg, 1978; 65(10): 702-705.
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| 2. |
陳道達, 陳劍英, 盧曉明， 等. 逆行游離高選擇性胃迷走神經切斷術治療十二指腸潰瘍 [J]. 中華外科雜志, 2002; 40(9): 644-646.
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王躍東, 魏琪, 袁曉明， 等. 腹腔鏡迷走神經切斷術治療十二指腸潰瘍 [J]. 中國內鏡雜志， 1999; 5（2）： 54-55.
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| 4. |
Kimura T, Sakuramachi S, Harada Y. Laparoscopic highly selective vagotomy incorporating a retrogastric approach [J]. Surg Laparosc Endosc, 1995; 5(1): 64-67.
|
| 5. |
Casas AT, Gadacz TR. Laparoscopic management of peptic ulcer disease [J]. Surg Clin North Am, 1996; 76(3): 515-522.
|
| 6. |
王躍東. 微創外科技術在胃腸疾病中的應用 [J]. 腹部外科, 2008; 21(1): 8-9.
|
| 7. |
鄭民華. 腹腔鏡手術對胃腸動力的影響 [J]. 中國實用外科雜志, 2003; 23(8): 451-453.
|
- 1. Hill GL, Barker MC. Anterior highly selective vagotomy with posterior truncal vagotomy: a simple technique for denervating the parietal cell mass [J]. Br J Surg, 1978; 65(10): 702-705.
- 2. 陳道達, 陳劍英, 盧曉明， 等. 逆行游離高選擇性胃迷走神經切斷術治療十二指腸潰瘍 [J]. 中華外科雜志, 2002; 40(9): 644-646.
- 3. 王躍東, 魏琪, 袁曉明， 等. 腹腔鏡迷走神經切斷術治療十二指腸潰瘍 [J]. 中國內鏡雜志， 1999; 5（2）： 54-55.
- 4. Kimura T, Sakuramachi S, Harada Y. Laparoscopic highly selective vagotomy incorporating a retrogastric approach [J]. Surg Laparosc Endosc, 1995; 5(1): 64-67.
- 5. Casas AT, Gadacz TR. Laparoscopic management of peptic ulcer disease [J]. Surg Clin North Am, 1996; 76(3): 515-522.
- 6. 王躍東. 微創外科技術在胃腸疾病中的應用 [J]. 腹部外科, 2008; 21(1): 8-9.
- 7. 鄭民華. 腹腔鏡手術對胃腸動力的影響 [J]. 中國實用外科雜志, 2003; 23(8): 451-453.
