[Minimally invasive technologies in surgery of duodenal ulcer].

The results of surgical treatment of duodenal ulcer are presented. Combined miniinvasive method was used in 30 patients with perforated ulcers. The essence of the method consisted in laparoscopic sanation of abdominal cavity and operative manipulations in the area of perforated ulcer through mini-laparotomy approach. Taking into account destructive properties of radiowaves concerning nerve cells, the authors have proved in experiments feasibility of vagotomy by means of these waves, and used them for 10 patients in laparoscopic vagotomy combined with operative manipulations in the area of ulcer through mini-laparotomy approach. In 4 patients isolated laparoscopic radiofrequency vagotomy without gastric drainage in uncomplicated forms of duodenal ulcer was performed with good results.