Melissa L DeSouza, MD1, Laura E Fischer, MD, MS2, James P Dolan, MD, MCR1. 1Oregon Health and Science University, 2Oklahoma University Medicine
Highly selective vagotomy was first described by Griffiths and Harkin in 1957 as a more physiologic ulcer operation than standard truncal vagotomy by denervating parietal cell mass while maintaining pyloric integrity. While advances in the medical management of H. pylori and peptic acid production have reduced the need for elective surgical treatment, there remain cases of truly refractory peptic ulcer disease for which surgery may present the only curative option. Minimally-invasive robotic surgery provides improved visualization and greater dexterity than standard laparoscopic techniques, which is particularly helpful in identifying small vagal branches during highly selective vagotomy. Here we present a case of robot-assisted highly selective vagotomy in a patient with refractory peptic ulcer disease to highlight the benefits of a robotic minimially invasive technique.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86896
Program Number: V209
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop