Laparoscopic Taylor procedure in Chinese patients

Gertsch, Philippe; Chow, Louis W C; Lim, Boon-Hua

doi:10.1016/s0016-5107(96)70325-5

Cited by 2 publications

(4 citation statements)

References 18 publications

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“…Indeed, the values of the lag phase, t ½ of gastric emptying and the percentage of solid meal retained in the stomach at 60 and 120 min postprandially and the liquid emptying studies were similar to those obtained from the healthy controls using the same nutrient meal (table 1). Moreover, our results are comparable and sometimes seem to be favorable to those obtained by other authors after treatment of chronic duodenal ulcer either with conventional [30][31][32][33][34][35], or laparoscopic surgery [8,9,[18][19][20][21]26]. …”

Section: Resultssupporting

confidence: 85%

“…When patients are graded according to the Visick classification [28] posterior truncal vagotomy with anterior gastric stapling yields results comparable to and often likely to be better than those obtained previously after laparoscopic HSV or the modified Taylor procedure [8,9,[18][19][20][21]. Of the 16 patients included in the present study only 1 was classified as Visick III and these results are likely to be rather better [8,18] or similar [9,21] to those reported by several authors.…”

Section: Discussionsupporting

confidence: 72%

“…Recently, HSV and alternative procedures have been performed laparoscopically [8,9,[18][19][20][21]. More of these laparoscopic methods are already standardized and the results of several series of patients showed minimal morbidity and no mortality with a recurrence rate very similar to those obtained in open surgery and compare favorably with the recurrence results after medical treatment [8,9,[18][19][20][21]. Thereafter, laparoscopic truncal vagotomy with anterior seromyotomy, using the Endo-GIA' Multifire stapler, has been our alternative procedure to the conventional operation, after the new era of laparoscopic surgery, to reduce postoperative pain, recovery time and morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…This technique has been shown to reduce gastric acid secretion adequately; radiologically and isotopically measured gastric emptying alters little [15,17]. Laparoscopic simplified alternatives to the time-consuming laparoscopic HSV such as parietal cell vagotomies (Taylor's and Hill-Barker's procedures) were already proposed to make the operation easier and faster [18][19][20][21]. However, this study investigated the effect of the laparoscopic modified Taylor procedure in patients with chronic duodenal ulcer, after mean 5-year follow-up, on gastric secretion, gastric emptying and enterogastric reflux, as well as clinical parameters and recurrence rate.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Laparoscopic Modified Taylor Procedure in the Treatment of Duodenal Ulcer: Technique and Outcome after 5-Year Follow-Up

Petrakis¹,

Vassilakis²,

Vrachassotakis³

et al. 1999

Eur Surg Res

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Background: Recently, gastric stapling with posterior truncal vagotomy has been performed by laparoscopic surgery, as an alternative to highly selective vagotomy (HSV) and the Taylor procedure for the treatment of chronic duodenal ulcer. Aim: To investigate, after a mean 5-year follow-up, the effect of the stapling-modified laparoscopic Taylor procedure, on gastric secretion, emptying and reflux as well as clinical parameters and recurrence rates in patients treated for duodenal ulcer. Methods: 16 patients, aged 38–66 years, were treated from January 1993 to January 1996 (median 60.5 months), by the laparoscopic stapling-modified Taylor procedure, using the Endo-GIA stapler device. Assessment of the results of gastric acid secretion, solid and liquid gastric emptying, enterogastric reflux, endoscopic findings and clinical parameters, using the Visick grading, was performed. Results: Endoscopy found healing ulcer in 15 patients. One patient showed signs of chronic ulcerative disease without gastritis or pyloric stenosis indicative of progressive ulcerative diathesis and was classified as Visick III. 14 patients were classified as Visick I and 1 as II. The enterogastric reflux index ranged from 0 to 26%, basal and peak acid output were 1.4 ± 0.6 and 11.7 ± 6.1 mmol H⁺/h, respectively. The half-emptying times of the solid and liquid meal were 82 ± 7 and 16 ± 6 min, respectively. These results are likely to be similar to those obtained from series of patients who underwent HSV or Taylor procedure and are closed to those from healthy controls. Conclusions: The laparoscopic modified Taylor procedure, using the Endo-GIA stapler device allows a more rapid, technically easier and radical performance of the operation with excellent long- term results and should be included in the armamentarium of the treatment of chronic duodenal ulcer.

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