Anterior lesser curve seromyotomy using a stapling device and posterior truncal vagotomy for the treatment of chronic duodenal ulcer: longterm results11No competing interests declared.

Petrakis, Ioannis; Vassilakis, Sofocles J.; Chalkiadakis, George

doi:10.1016/s1072-7515(99)00034-4

Cited by 5 publications

(1 citation statement)

References 33 publications

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“…Urbano et al in their study show that the treatment of choice for perforated ulcer is Taylor conservative procedure and laparoscopic drainage of the abdominal cavity [16]. Petrakis et al demonstrated that the modified laparoscopic stapling Taylor procedure (GomezFerrer method) allows a more rapid, technically easier and radical performance of the operation with excellent long term results [17,18]. Peritoneal lavage and drainage, constituting the most important part of laparoscopic procedure for perforated ulcer repair, should be very thorough.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic management of perforated peptic ulcer with single suture or single suture and modified taylor procedure

et al. 2010

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Background-Aim: Peptic ulcer perforation represents a major cause of mortality and morbidity. Requiring emergency attention and surgical management, it traditionally involved open repair -laparotomy. In 1989, Mouret et al. applied the first laparoscopic sutureless fibrin glue omental patch for perforated duodenal ulcer repair. The aim of this study is to show that laparoscopic management of a perforated ulcer produces very good results and is a less invasive technique compared with open repair. Patients and Methods: This study included 56 patients treated in two clinics in Athens, Greece from 1996 to 2008, of whom 41 were men and 15 were women with ages ranging from 23 to 86 years. Of these patients, 39 were operated within 2 -6 hours of perforation, 15 within 6 -24 hours and 2 within 24 hours. In 36 cases, perforation was located in the duodenum while in 20, it was identified in the prepyloric region. Results: Simple suture of the site of perforation was performed in 48 patients. The laparoscopic modified Taylor procedure was decided for 8 patients with a history of chronic duodenal ulcer and extended pharmacologic therapy, all of whom were operated on within 6 hours from the onset of clinical signs and symptoms. Conversion to open repair was required in one patient. The operating time was 40-100 min for simple suture and 120-155 min for the Taylor procedure. Conclusions: Laparoscopic repair of a perforated peptic ulcer is a relatively safe and simple method, when performed by an experienced laparoscopic surgeon. Where indicated, the laparoscopic modified Taylor procedure offers a valid alternative to the permanent medical therapy of a gastroduodenal ulcer.

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Section: Resultsmentioning

confidence: 99%