Mouiel J, Katkhouda N, Gugenheim J
Université de Nice-Sophia Antipolis, Service de Chirurgie digestive, Vidéo-Chirurgie et Transplantation, Hôpital Saint-Roch, France.
Chirurgie. 1996;121(5):335-9.
Posterior vagotomy with anterior seromyotomy by laparoscopy as we presented here in 1990 had been performed in a series of 62 patients with two years follow up without mortality and reduced morbidity. Two recurrences have been observed concerning pre pyloric ulcers which appear to be a contra-indication of the method. Discussion concerns: 1) The choice of the procedure which is reproducible and non operator dependent. 2). The choice of indications for patients non complaint to maintenance therapy or excluded because of side effects drugs. Moreover, thanks to minimal invasive approach there would be a place for the patients choice between medical and laparoscopic treatment.
如我们1990年在此所展示的，通过腹腔镜进行后迷走神经切断术联合前浆膜肌层切开术，已在62例患者中实施，并进行了两年随访，无死亡病例，发病率降低。观察到两例幽门前溃疡复发，这似乎是该方法的一个禁忌症。讨论内容包括：1）可重复且不依赖操作者的手术方式的选择。2）对于不接受维持治疗或因药物副作用而被排除的患者的适应症选择。此外，由于采用微创方法，患者在药物治疗和腹腔镜治疗之间有了选择的余地。
