Lesser curve disconnection using a stapling device: highly selective vagotomy made quicker and easier

Area of Science:

• Gastroenterology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Highly selective vagotomy is a surgical procedure to reduce stomach acid production.
• Traditional methods for dissecting the gastric lesser curve can be time-consuming.
• Improving surgical efficiency and patient outcomes in vagotomy is an ongoing goal.

Purpose of the Study:

• To evaluate the efficacy and safety of using a stapling device for gastric lesser curve dissection during highly selective vagotomy.
• To assess the impact of this stapling technique on operative time and postoperative recovery.

Main Methods:

• A consecutive series of ten patients underwent highly selective vagotomy.
• A stapling device was employed to disconnect the lesser curve of the stomach.
• Patient outcomes and follow-up data were systematically collected.

Main Results:

• The use of a stapling device made the surgical procedure technically easier and faster.
• All ten patients experienced an uneventful postoperative recovery.
• No complications related to the stapling technique were observed during 7-15 months of follow-up.

Conclusions:

• Stapling device application for lesser curve dissection is a safe and effective modification for highly selective vagotomy.
• This technique offers significant advantages in terms of surgical efficiency and patient recovery.
• Further studies may explore wider adoption of this method in gastrointestinal surgery.