Role of selective proximal vagotomy in laparoscopic Toupet fundoplication

Grubnik V.V.; Kiladze M.A.; Malinovskiĭ A.V.; Giuashvili Sh.T.

doi:https://doi.org/

Grubnik V.V.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Kiladze M.A.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Malinovskiĭ A.V.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Giuashvili Sh.T.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Role of selective proximal vagotomy in laparoscopic Toupet fundoplication

Authors:

Grubnik V.V., Kiladze M.A., Malinovskiĭ A.V., Giuashvili Sh.T.

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Journal: Endoscopic Surgery. 2011;17(3): 24‑26

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Grubnik VV, Kiladze MA, Malinovskiĭ AV, Giuashvili ShT. Role of selective proximal vagotomy in laparoscopic Toupet fundoplication. Endoscopic Surgery. 2011;17(3):24‑26. (In Russ.)

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

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Abstract:

Method choice of fundoplication in laparoscopic antireflux surgeries is still actual. The goal of this study is to compare long-term results of Toupet fundoplication alone and supplemented by selective proximal vagotomy (SPV). From 1994 to 2010 years laparoscopic Toupet fundoplications were performed in 203 patients in Odessa regional clinical hospital. Due to clinical features patients were divided into three comparable groups. In patients with gastric hypersecretion and DeMeester index >80 Toupet fundoplication was supplemented by SPV (main group). Follow-up observation comprised 6 years on average. Rate of gastroesophageal reflux disease symptoms were reliably lower, quality of life due to GERD-HRQL scale improved significantly in main group than in comparison group. DeMeester index was also lower in the main group. Toupet fundoplication and SPV is recommended for severe GERD with gastric hypersecretion.

Keywords:

gastroesophageal reflux disease (GERD)

laparoscopic antireflux surgeries

Toupet fundoplication

selective proximal vagotomy (SPV)

Authors:

Grubnik V.V.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Kiladze M.A.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Malinovskiĭ A.V.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

Giuashvili Sh.T.

Odesskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra khirurgii #1;
Tbilisskiĭ gosudarstvennyĭ universitet im. Iv. Dzhavakhishvili

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References:

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