Concurrent laparoscopic highly selective vagotomy with closure of duodenal ulcer perforations show good clinical results as primary repair alone

• DOI: 10.1177/03000605231206319
• Publication Date: 2023-10-27T20:15:52Z
• Authors: Ji-Ho Park; Jin‑Kwon Lee; Dong-Hwan Kim; Jae-Seok Min; Tae-Han Kim; Eun-Jung Jung; Taejin Park; Jae Yool Jang; Jung-Woo Woo; Han Shin lee; Miyeong Park; Sang-Ho Jeong
• Keywords: Perforation

To compare clinical and operative results between laparoscopic primary repair (LPR) alone LPR with highly selective vagotomy (LPR-HSV) in patients duodenal ulcer perforation.Clinical data from who underwent either or LPR-HSV by resecting both sides of the neurovascular bundle using an ultrasonic bipolar electrosurgical device for perforations, 2010 2020, were retrospectively collected. Between-group differences continuous categorical variables statistically analysed.Data 184 (mean age, 49.6 years), (n = 132) 52) included. The mean operation time was significantly longer group (116.5 ± 39.8 min) than (91.2 33.3 min). Hospital stay shorter (8.6 2.6 days) versus (11.3 7.1 days). postoperative day starting soft fluid diet also (4.5 1.4 (5.6 4 No between-group difference morbidity rate observed. learning curve HSV procedure showed a stable after 10 operations.LPR may be safe feasible cases are at high risk recurrence.