Laparoscopic Highly Selective Vagotomy (Hill) for Treating Acute Perforating Duodenal Ulcer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Dening , ZHANG Jie , HUO Hongjun , YAN Yukuang , SUN Hao , LIU Jidong.

Department of General Surgery, The Center Hospital of Longgang District, Shenzhen 518116， Guangdong Province, China;

Corresponding author：

Keywords：

Duodenal ulcer; Laparoscopy; Highly selective vagotomy

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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: Copy

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.	陈道达, 陈剑英, 卢晓明，等. 逆行游离高选择性胃迷走神经切断术治疗十二指肠溃疡 [J]. 中华外科杂志, 2002; 40(9): 644-646.
3.	王跃东, 魏琪, 袁晓明，等. 腹腔镜迷走神经切断术治疗十二指肠溃疡 [J]. 中国内镜杂志， 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.	王跃东. 微创外科技术在胃肠疾病中的应用 [J]. 腹部外科, 2008; 21(1): 8-9.
7.	郑民华. 腹腔镜手术对胃肠动力的影响 [J]. 中国实用外科杂志, 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. 陈道达, 陈剑英, 卢晓明，等. 逆行游离高选择性胃迷走神经切断术治疗十二指肠溃疡 [J]. 中华外科杂志, 2002; 40(9): 644-646.
3. 王跃东, 魏琪, 袁晓明，等. 腹腔镜迷走神经切断术治疗十二指肠溃疡 [J]. 中国内镜杂志， 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. 王跃东. 微创外科技术在胃肠疾病中的应用 [J]. 腹部外科, 2008; 21(1): 8-9.
7. 郑民华. 腹腔镜手术对胃肠动力的影响 [J]. 中国实用外科杂志, 2003; 23(8): 451-453.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Highly Selective Vagotomy (Hill) for Treating Acute Perforating Duodenal Ulcer

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