Conclusion
Laparoscopic vagotomy is as effective and safe as open vagotomy for the treatment of duodenal ulcer disease refractory to medical therapy and yields uniformly good results. Despite improvements in medical therapy, the recurrence rate for ulcer disease is approximately 90% per year without long-term medical treatment. Antiulcer drugs have not decreased the mortality rate or complications associated with ulcer disease, especially in the elderly. We believe that elective surgical treatment is a useful alternative to long-term maintenance therapy. Therefore, laparoscopic highly selective vagotomy or posterior truncal vagotomy with anterior seromyotomy is the procedure of choice if the patients are selected as carefully as they are for open surgery. A prospective multicenter study is warranted to evaluate clinical outcome and cost effectiveness.
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Katkhouda, N., Giordano, L., Manhas, S. (2004). Laparoscopic Approaches to Ulcer Therapy. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_7
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DOI: https://doi.org/10.1007/0-387-21780-0_7
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