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題 名 | Laparoscopic Truncal Vagotomy for Management of Peptic Ulcer Disease=消化潰瘍疾病的腹腔鏡迷走神經幹切除術處置 |
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作 者 | 李威傑; 袁瑞晃; 陳炯年; 游憲章; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 29:3 民85.05-06 |
頁 次 | 頁196-202 |
分類號 | 416.243 |
關鍵詞 | 消化潰瘍疾病; 腹腔鏡; 迷走神經幹切除術; Laparoscopic; Truncal vagotomy; Minilaparotomy; |
語 文 | 英文(English) |
中文摘要 | 腹腔鏡膽囊切除已廣被接受為膽囊疾病的常規治療。在精通腹腔鏡的技 術後,外科醫師已能廣範應用此技術於各種胃腸道疾病上。於I995年本院56例因 消化潰瘍併發症而需接受外科治療的病人申,手術的適應症分別為穿孔33例,出 血及狹窄各10例,難治3例。其中我們一共實施五例腹腔鏡迷走神經幹切除術, 四例為狹窄,一例為難治復發邊緣潰瘍病人。除一例邊緣潰瘍病人外,其餘四例 皆另外接受引流手術。一例接受腹腔鏡幽門切除手術及吻合,另一例接受腹腔鏡 胃空腸吻合術。其餘兩例經由迷你中線開腹接受引流手術,一例為Finney幽門成 形術,另一例為腹腔鏡胃空腸吻合術。此五例腹腔鏡迷走神經幹切除病人的手術 時間分別為40至380分鐘。其中接受腹腔鏡幽門切除手術的一例病人發生吻合處 滲漏的主要併發症。此病人於接受再手術後28天出院。其餘四例則無任何併發 症。分別於2至6天出院。在追蹤1至6月後,所有的病人皆無服藥且無復發。總之, 腹腔鏡迷走神經幹切除可為一種安全,可行及有效的常規消化潰瘍手術。我們建 議合併腹腔鏡迷走神經幹切除及經由迷你開腹的引流手術為是簡單而經濟的選 擇。 |
英文摘要 | Laparoscopic cholecystectomy is already widely accepted as a routinetreatment for gallbladder disease. Surgeons have become expert in the useof the laparoscope, and are now able to apply this technique to a widevariety of gastrointestinal problems. In 1995, laparoscopic truncal vagotomywas performed here in 5 out of 56 patients who received surgical treatmentfor their complicated peptic ulcer disease. The indications for surgery wereperforation, hemorrhage, stenosis and intractability in 33, 10, 10 and 3patients, respectively. The indication for the five patients who receivedlaparoscopic vagotomy was stenosis in four and intractability in onepatient with recurrent marginal ulcer. All patients except the patient withmarginal ulcer received a drainage procedure in addition to truncal vagotomy. One patient received laparoscopic antrectomy and Bll anastomosisand one received laparoscopic gastrojejunostomy. The other two patientsreceived drainage procedure through minimidline laparotomy-one withFinney pyloroplasty and one with gastrojejunustomy. For 5 laparoscopicvagotomy patients, the operation time ranged from 40 to 380 minutes. Amajor complication of anastomotic leakage occurred in the patient whoreceived laparoscopic antrectomy. The patient received laparotomy, andwas discharged after hospitalization for 40 days. The other four patients hadrapid recover, and were discharged two to six post-surgery days. After afollow-up of one to six months, all the patients were well, without eithermedication or recurrence of symptoms. In conclusion, laparoscopic truncalvagotomy can be a safe, feasible and efficient procedure for elective pepticulcer surgery. Combined laparoscopic truncal vagotomy and minilaparotomy for drainage procedure are recommended as the preferred choice forsimplicity and economy. |
本系統中英文摘要資訊取自各篇刊載內容。