Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Thoracoscopic truncal vagotomy.

P Gullà1, A Tassi, R Cirocchi

  • 1General Surgery Unit, Hospital of Foligno, Perugia, Italy.

The Journal of Cardiovascular Surgery
|March 10, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) observational prospective multicenter study on lymphadenectomy during right hemicolectomy: Should anatomical variability of the right colic artery influence the surgical strategy?-CoDIG 2 database (ColonDx Italian Group).

Updates in surgery·2025
Same author

The effects of incremental maxillomandibular advancement surgery on airway morphology: a cadaveric study.

International journal of oral and maxillofacial surgery·2024
Same author

A SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) observational prospective multicenter study on anatomical variants of the superior mesenteric artery: intraoperative analysis during laparoscopic right hemicolectomy-CoDIG 2 database (ColonDx Italian Group).

Updates in surgery·2024
Same author

Laparoscopic right hemicolectomy: a SICE (Società Italiana di Chirurgia Endoscopica e Nuove tecnologie) network prospective study on the approach to right colon lymphadenectomy in Italy: is there a standard?-CoDIG 2 (ColonDx Italian Group).

Surgical endoscopy·2024
Same author

Serial transverse enteroplasty (STEP) in case of short bowel syndrome: did we achieve our goal? A systematic review.

Updates in surgery·2022
Same author

The impact of transanal local excision of early rectal cancer on completion rectal resection without neoadjuvant chemoradiotherapy: a systematic review.

Techniques in coloproctology·2021
Same journal

Development of a new dedicated bridging stent for FEVAR: initial ideas, design and testing, on-label approval, and initial experience.

The Journal of cardiovascular surgery·2026
Same journal

Pelvic venous disease and lymphatic dysfunction: evaluating the evidence for a proposed continuum.

The Journal of cardiovascular surgery·2026
Same journal

Incidence of post-dissection aneurysmal formation and need for secondary intervention after surgery for acute type A aortic dissections: a systematic review and meta-analysis of observational studies.

The Journal of cardiovascular surgery·2026
Same journal

The expertise effect: how advancing skills in frozen elephant trunk have broadened surgical indication for acute dissection.

The Journal of cardiovascular surgery·2026
Same journal

Outcomes of pulmonary embolism response teams: a systematic review.

The Journal of cardiovascular surgery·2026
Same journal

Use of large bore devices in the treatment of pulmonary embolism.

The Journal of cardiovascular surgery·2026
See all related articles

Videothoracoscopic truncal vagotomy offers a safe and effective treatment for recurrent ulcers after gastric surgery. This minimally invasive approach achieved complete ulcer healing in all patients, avoiding complications and medical therapy.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Truncal vagotomy reduces acid production for ulcer healing but can cause pylorospasm, necessitating drainage procedures.
  • Videothoracoscopic truncal vagotomy is typically reserved for patients who have undergone previous gastroresection.
  • Recurrent ulceration after gastric surgery remains a clinical challenge.

Purpose of the Study:

  • To evaluate the efficacy and safety of videothoracoscopic bilateral truncal vagotomy for recurrent ulceration.
  • To assess the long-term outcomes of this minimally invasive approach in patients with a history of gastric surgery.

Main Methods:

  • Fifteen patients with recurrent ulceration after gastric surgery underwent videothoracoscopic bilateral truncal vagotomy.

Related Experiment Videos

  • Various reconstructive techniques were employed, including Roux-en-Y gastrojejunostomy, Billroth II, and Billroth I reconstructions.
  • Procedures were performed endoscopically with a mean operative time of 45 minutes.

    • Main Results:

    • All 15 patients achieved complete ulcer healing.
    • No postoperative complications were reported.
    • Endoscopic follow-up in 12 patients over 3-4 years confirmed sustained healing without medical therapy.

    Conclusions:

    • Videothoracoscopic bilateral truncal vagotomy is a simple, efficient, and safe alternative for managing recurrent ulceration post-gastric surgery.
    • This technique appears to be a viable option, particularly for patients with prior gastroresection, offering successful ulcer healing.