Laparoscopic highly selective vagotomy

Dallemagne, B; Weerts, J; Jehaes, C; Markiewicz, S; R, Lombard

doi:10.1002/bjs.1800810424

Cited by 25 publications

(13 citation statements)

References 13 publications

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“…Furthermore, the collective experience of laparoscopic vagotomy within specialist centers has been diluted by the plethora of alternative techniques 'competing to become the procedure of choice. For example, selected reports from current literature reveal Dubois advocating thoracoscopic truncal vagotomy in a series of 21 patients [8], Katkhouda supporting laparoscopic posterior truncal vagotomy and anterior seromyotomy in a series of 90 patients [16], Dallemagne championing laparoscopic HSV in a series of 35 patients [6], Kum and Goh reporting the use of anterior HSV and posterior truncal vagotomy in six patients [17], and Hannon describing his technique of linear stapled laparoscopic anterior seromyotomy and posterior truncal vagotomy [12]. The use of gastric secretory studies for the physiological assessment of vagotomy is a well-established technique, despite ongoing criticism.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, a reduction in basal acid output of <80% has been reported to accurately predict recurrent ulceration after open highly selective vagotomy [4]. The two largest published reports [3,6] of laparoscopic HSV have observed the procedure to be very safe with no postoperative morbidity or mortality amongst a total of 68 patients, and complete ulcer healing was observed on endoscopy for all but 3 patients. However, gastric secretory studies were performed in only 16 of the 68 patients, and no attempt was made to statistically analyze whether a significant decrease in acid secretory response had been achieved.…”

Section: Discussionmentioning

confidence: 99%

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Physiological outcome following laparoscopic highly selective vagotomy

et al. 1995

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Open highly selective vagotomy (HSV) has withstood the rigors of objective evaluation to become the optimal surgical treatment for chronic duodenal ulcer refractory to medical therapy in many centers. Laparoscopic HSV has not been subjected to the same scrutiny before entering clinical practice. A controlled animal study was conducted to demonstrate the physiological validity of laparoscopic HSV. Experimental groups underwent laparoscopic and open highly selective vagotomies, and control groups underwent a sham laparoscopic gastric mobilization or no operative procedure. Gastric acid output was measured by an aspiration technique, liquid gastric emptying was calculated by the double sampling technique of George, and gastroesophageal reflux was assessed by 8-h ambulatory pH monitoring. Laparoscopic HSV was as effective as its open counterpart in reducing basal acid output, and laparoscopic HSV did not interfere with liquid gastric emptying in contrast to open HSV. Neither open nor laparoscopic HSV was observed to precipitate gastroesophageal reflux. These data suggested that the continued use of laparoscopic HSV in clinical practice is appropriate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physiological outcome following laparoscopic highly selective vagotomy

et al. 1995

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“…The modern operative techniques such as Harmonic scalpel and bipolar scalpel dissection, which simplified the performance of laparoscopic fundoplication, have also simplified the performance of HSV. [22][23][24][25][26] As it happens, laparoscopic fundoplication includes dissection of several areas that are part of the operative dissection required for HSV. 27 Therefore, those surgeons interested in HSV have already performed at least half of the operation already; for the remaining parts of the procedure, reference to the publications already cited will provide the necessary information and diagrams.…”

Section: Minimally Invasive Operations-a Reprieve For Hsv?mentioning

confidence: 99%

Ulcer Surgery and Highly Selective Vagotomy—Y2K

Donahue¹

1999

Arch Surg

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“…Today, all the vagotomy procedures described in open surgery have been performed by laparoscopy with total operative success. A few series about short-term results reported by western teams have been published [30][31][32][33][34][35][36]. The results are satisfactory.…”

Section: Nonmalignant Disordersmentioning

confidence: 99%

Advances in Laparoscopic Surgery

1998

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After a brief account of the origins of laparoscopy and of its development into an interventional technique thanks to technical improvement, the author gives a dynamic state of the art in laparoscopic surgery, beginning with a description of his original classification method for laparoscopic procedures according to their level of use. Before tackling the highly controversial issue of laparoscopic surgery for cancer, he reviews in detail the various operations successfully performed by laparoscopy for the treatment of nonmalignant abdominal disorders and acute syndromes, all the while checking their results against those obtained with their open counterparts. As the various procedures are described, the interest of the laparoscopic approach becomes clearly visible, based on the excellent view of the operative field that allows diagnostic accuracy, thus avoiding unnecessary operations, and precise dissection with minimal damage. However, the laparoscopic approach is highly dependent on the surgeon’s proficiency, itself depending on experience and therefore on the frequency of occurrence of the disorder, and on the progress in and availability of adequate equipments. The last chapter looks into the future of this ever-expanding approach and defines two great trends in its evolution, one accessible to the individual surgeon, the gradual adaptation of open procedures into laparoscopic ones, the other at the institutional level, in view of the huge financial support involved if high technologies are to be systematically integrated in this new surgery. What will the future be like?

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Laparoscopic highly selective vagotomy

Cited by 25 publications

References 13 publications

Physiological outcome following laparoscopic highly selective vagotomy

Physiological outcome following laparoscopic highly selective vagotomy

Ulcer Surgery and Highly Selective Vagotomy—Y2K

Advances in Laparoscopic Surgery

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