Technique of laparoscopic posterior truncal vagotomy and anterior seromyotomy using endoscopic esophogeal transillumination

David M. Reed; Bartholomew J. Tortella M.D.; William V. Dolan; Ralph P. Pennino; Michael R. Treat M.D.

doi:10.1117/12.146240

28 May 1993 Technique of laparoscopic posterior truncal vagotomy and anterior seromyotomy using endoscopic esophogeal transillumination

David M. Reed, Bartholomew J. Tortella M.D., William V. Dolan, Ralph P. Pennino, Michael R. Treat M.D.

Author Affiliations +

Proceedings Volume 1879, Lasers in Urology, Gynecology, and General Surgery; (1993) https://doi.org/10.1117/12.146240
Event: OE/LASE'93: Optics, Electro-Optics, and Laser Applications in Scienceand Engineering, 1993, Los Angeles, CA, United States

Abstract

The unprecedented rapid and successful adoption of laparoscopic cholecystectomy has prompted the evaluation of converting other standard open surgical procedures to a laparoscopic technique. A wide variety of laparoscopic acid reduction procedures have been successfully accomplished by groups in this country and abroad. Our group reviewed the literature on the many types of open peptic ulcer operations, as well as the ones performed laparoscopically. We elected to perfect the technique of posterior truncal vagotomy and anterior seromyotomy (PTVAS). After extensive animal laboratory work, we performed PTVAS on four patients with documented recurrent peptic ulcer disease. We describe our technique as it evolved and in particular note the usefulness of endoscopic esophageal transillumination. In addition, we report our results and discuss their implications.

Citation Download Citation

David M. Reed, Bartholomew J. Tortella M.D., William V. Dolan, Ralph P. Pennino, and Michael R. Treat M.D. "Technique of laparoscopic posterior truncal vagotomy and anterior seromyotomy using endoscopic esophogeal transillumination", Proc. SPIE 1879, Lasers in Urology, Gynecology, and General Surgery, (28 May 1993); https://doi.org/10.1117/12.146240

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