[Laparoscopic vagotomy in the treatment of duodenal ulcer with a report of 3 cases]. / Laparoskopska vagotomiia pri lechenieto na duodenalnata iazva s prinos na tri sluchaia.

The report deals with posterior truncus and anterior supraselective vagotomy, performed laparoscopically for the first time in this country. Three patients-2 women and one man-are operated on for duodenal ulcer,complicated with bleeding, controlled conservatively in the first stage. In one female patient the intervention described and cholecystectomy are simultaneously done. In none of the three patients is stenosis of the pylorus observed. A considerable reduction of operative time-to 95 and 83 minutes-is achieved when special instrumentation (Multifire Endo Gia) for automated linear resection of the anterior gastric wall is used. Emphasis is laid on a number of advantages of the technique described.