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Laparoscopic billroth II gastrectomy for completely stricturing duodenal ulcer: technical details
G E Saccomani1, A Percivale, M Stella
1Department of Surgery, Santa Corona Hospital, Pietra Ligure (SV), Italy.
Background:
The authors report a series of three patients who underwent laparoscopic gastrectomy for gastric outlet obstruction due to stricturing duodenal ulcer.
Materials And Methods:
In all cases an intracorporeal resection of the antrum and an antecolic end to side gastrojejunostomy (Billroth II) were performed. Technical details are discussed in the paper.
Results:
Mean operative time was 260 minutes, mean blood loss was 43 millilitres. There were no postoperative complications and all patients were discharged on the fifth postoperative day. A follow up of three years shows that no patient had recurrence and post-gastrectomy syndromes.
Conclusions:
Laparoscopic Billroth II gastrectomy is a safe and feasible procedure with benefits such as quick hospital stay, decreased postoperative pain, good cosmesis and reduced morbidity.
