Laparoscopic Modified Taylor Procedure in the Treatment of Duodenal Ulcer: Technique and Outcome after 5-Year Follow-Up

Petrakis, Ioannis; Vassilakis, Sofocles J.; Vrachassotakis, N.; Koutsoumpas, V.; Chalkiadakis, George

doi:10.1159/000008727

Cited by 3 publications

(4 citation statements)

References 29 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%

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

et al. 2010

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“…To shorten the operation time, posterior truncal vagotomy was developed along with seromyotomy and the Hill-Barker procedure. [11][12][13][14] Most modified procedures comprise posterior truncal vagotomy and anterior HSV to decrease the operation time. In East Asia, laparoscopic gastrectomy with lymph node detection has become the standard operation for early gastric cancer surgery.…”

Section: Discussionmentioning

confidence: 99%

“…To shorten the operation time, posterior truncal vagotomy was developed along with seromyotomy and the Hill-Barker procedure. [12][13][14] The aim of the present study was to compare the clinical and operative results between laparoscopic primary repair (LPR) alone or with HSV in patients with duodenal ulcer perforation. To the best of our knowledge, this is the first report of LPR with concurrent anterior and posterior HSV procedures in patients with duodenal ulcer perforation.…”

Section: Introductionmentioning

confidence: 99%

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Concurrent laparoscopic highly selective vagotomy with closure of duodenal ulcer perforations show good clinical results as primary repair alone

Park,

Lee,

Kim

et al. 2023

J Int Med Res

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Objective To compare clinical and operative results between laparoscopic primary repair (LPR) alone and LPR with highly selective vagotomy (LPR-HSV) in patients with duodenal ulcer perforation. Methods Clinical data from patients who underwent either LPR or LPR-HSV by resecting both sides of the neurovascular bundle using an ultrasonic or bipolar electrosurgical device for duodenal ulcer perforations, between 2010 and 2020, were retrospectively collected. Between-group differences in continuous and categorical variables were statistically analysed. Results Data from 184 patients (mean age, 49.6 years), who underwent either LPR ( n = 132) or LPR-HSV ( n = 52) were included. The mean operation time was significantly longer in the LPR-HSV group (116.5 ± 39.8 min) than in the LPR group (91.2 ± 33.3 min). Hospital stay was significantly shorter in the LPR-HSV group (8.6 ± 2.6 days) versus the LPR group (11.3 ± 7.1 days). The mean postoperative day of starting soft fluid diet was also significantly shorter in the LPR-HSV group (4.5 ± 1.4 days) than in the LPR group (5.6 ± 4 days). No between-group difference in morbidity rate was observed. The learning curve of the HSV procedure showed a stable procedure time after 10 operations. Conclusions LPR with HSV may be a safe and feasible procedure for selective cases who are at high risk for ulcer recurrence.

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Laparoscopic Management of Perforated Peptic Ulcer: Simple Closure or Something More?

Karydakis¹,

Семенов²,

Kyriakidis³

et al. 2016

OJGas

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Purpose: During the last decade laparoscopic approach to perforated peptic ulcer has gained wide acceptance over the traditional open repair on the basis of being an equally efficient and less invasive technique. Methods: 198 patients with perforated duodenal or prepyloric ulcer that were surgically treated from 2003 to 2014 were included in this study. 140 were operated within 2-6 hours from the onset of symptoms, 55 within 6-24 hours, and 3 patients after 24 hours. Results: Laparoscopic simple closure with Graham patch was performed in 179 patients. In 19 patients with known chronic ulcer resistant to pharmacologic therapy, who were operated within 6 hours from the onset of symptoms, laparoscopic Taylor procedure was undertaken. Conversion to open repair was necessitated in four patients. The operating time was 40-100 min for the Graham patch repair and 120-155 min for the Taylor procedure. During follow-up, 48% of patients from the "Graham patch" group and no one from the "definitive procedure" group had recurrent ulcer. Conclusions: Laparoscopic treatment of perforated peptic ulcer is technically feasible and safe when performed by experienced surgeons. In certain cases more definitive procedures may achieve better long-term results.

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Laparoscopic Modified Taylor Procedure in the Treatment of Duodenal Ulcer: Technique and Outcome after 5-Year Follow-Up

Cited by 3 publications

References 29 publications

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

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

Concurrent laparoscopic highly selective vagotomy with closure of duodenal ulcer perforations show good clinical results as primary repair alone

Laparoscopic Management of Perforated Peptic Ulcer: Simple Closure or Something More?

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