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Thoracoscopic vagotomy for peptic ulcer disease--report of two cases. 1994

L L Ooi, and P O Mack
Department of Surgery, Singapore General Hospital.

Thoracoscopic vagotomy is a well-established technique in the management of recurrent peptic ulceration after previous abdominal vagotomy. The procedure allows an easy approach to the vagus nerves without having to dissect through dense adhesions from previous surgery. With thoracic vagotomy, the main morbidity is postoperative pain from the thoracotomy incision and rib spreading. Advances in endoscopic camera systems and instrumentation allow thoracic vagotomy to be safely and effectively accomplished by thoracoscopic surgery techniques, with reduced postoperative pain. We describe our experiences with thoracoscopic vagotomy in two cases of recurrent peptic ulceration.

UI MeSH Term Description Entries
D008297 Male Males
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D012086 Reoperation A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery. Revision, Joint,Revision, Surgical,Surgery, Repeat,Surgical Revision,Repeat Surgery,Revision Surgery,Joint Revision,Revision Surgeries,Surgery, Revision
D004381 Duodenal Ulcer A PEPTIC ULCER located in the DUODENUM. Curling's Ulcer,Curling Ulcer,Curlings Ulcer,Duodenal Ulcers,Ulcer, Curling,Ulcer, Duodenal,Ulcers, Duodenal
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013906 Thoracoscopy Endoscopic examination, therapy or surgery of the pleural cavity. Endoscopy, Pleural,Pleural Endoscopy,Pleuroscopy,Surgical Procedures, Thoracoscopic,Thoracoscopic Surgical Procedures,Surgery, Thoracoscopic,Thoracoscopic Surgery,Endoscopies, Pleural,Pleural Endoscopies,Pleuroscopies,Surgeries, Thoracoscopic,Surgical Procedure, Thoracoscopic,Thoracoscopic Surgeries,Thoracoscopic Surgical Procedure,Thoracoscopies
D015167 Vagotomy, Truncal Bilateral dissection of the abdominal branches of the vagus nerve. It is used frequently in the surgical management of duodenal and gastric ulcers, as well as in physiologic studies of gastrointestinal secretion and motility. Truncal Vagotomy,Truncal Vagotomies,Vagotomies, Truncal

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