[Elective treatment of duodenal ulcer by laparoscopic posterior troncular vagotomy and anterior seromyotomy].

Posterior vagotomy with anterior seromyotomy by laparoscopy as we presented here in 1990 had been performed in a series of 62 patients with two years follow up without mortality and reduced morbidity. Two recurrences have been observed concerning pre pyloric ulcers which appear to be a contra-indication of the method. Discussion concerns: 1) The choice of the procedure which is reproducible and non operator dependent. 2). The choice of indications for patients non complaint to maintenance therapy or excluded because of side effects drugs. Moreover, thanks to minimal invasive approach there would be a place for the patients choice between medical and laparoscopic treatment.