Comparison of laparoscopic truncal vagotomy with gastrojejunostomy and open surgery in peptic pyloric stenosis

Seok-Mo Kim, Jyewon Song, Sung Jin Oh, Woo Jin Hyung, Seung Ho Choi, Sung Hoon Noh
Surgical Endoscopy 2009, 23 (6): 1326-30

BACKGROUND: Little is known about the advantages of laparoscopic truncal vagotomy with gastrojejunostomy (LTVGJ) over open truncal vagotomy with gastrojejunostomy (OTVGJ) for peptic pyloric stenosis (PPS). This study aimed to highlight the role of minimally invasive surgery in the form of LTVGJ for PPS.

METHODS: From March 1999 to October 2005, 21 patients with PPS underwent LTVGJ (n = 13) and OTVGJ (n = 8). We analyzed intraoperative and postoperative outcomes retrospectively.

RESULTS: Two groups had similar demographic characteristics. Significantly shorter operating time, hospital stay, time to presence of bowel sounds, and time to tolerate a diet were the advantages of LTVGJ, while blood loss was higher in OTVGJ. There were significant differences in weight gain between the two groups after surgery during follow-up.

CONCLUSIONS: This study suggests that LTVGJ is a feasible technique, and intermediate follow-up reveals good symptomatic results when used for PPS.

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