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  • Title: Laparoscopic posterior truncal vagotomy and anterior highly selective vagotomy--a case report.
    Author: Kum CK, Goh P.
    Journal: Singapore Med J; 1992 Jun; 33(3):302-3. PubMed ID: 1385892.
    Abstract:
    Laparoscopic vagotomy provides a viable alternative to expensive long-term treatment with H2 antagonists in patients with intractable peptic ulcer disease. The minimally invasive procedure offers reduced postoperative discomfort and improved cosmesis. Here, we report our first case of a posterior truncal vagotomy and anterior highly selective vagotomy performed laparoscopically for the first time in Asia. The surgery was uneventful. Diet was resumed on day 3 and the patient was discharged on day 4. Post-vagotomy acid secretion tests on the third week revealed a dramatic decrease in acid production. With further experience, laparoscopic vagotomy can be an attractive alternative to long term medication in peptic ulcer disease.
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