الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
Peptic ulcer is one of the most common illnesses of gastoentestinal tract, fortunately it has a relatively low mortility, but it has a high rate of disability.The medical therapy of doudenal ulcer is based upon the premise that it is a chronic incurable disease, treatment therefore is dircted toward symtomatic relief during period of acute exacerbation.
Truncal vagotomy has been described in 1947 as a line of treatment of peptic ulcer. Since then a several modifications have been introduced to decrease the morbidity and facelilitate the technicue. Different types of drainage procedures as gastrojujenostomy and pyloroplasty have been added to truncal vagotomy.
Over recent years, laparoscopy has largely displaced traditional open surgery as an option for vagotomies. Among the substantial benefits of laparoscopic vagotomy are the following:
• Several tiny scars (scarcely visible after a few months) instead of a single large scar on the abdomen
• Reduced hospital stay – only a few days for most patients
• Less pain after the operation
• A brief recovery period – a matter of days, not weeks – and a rapid return to normal activity.