[Selective proximal vagotomy (SVP); technical details (author's transl)]

Area of Science:

• Gastrointestinal Surgery
• Surgical Techniques
• Vagotomy

Context:

• The surgical procedure of selective proximal vagotomy (SVP) is widely practiced.
• Variations exist in the definition of proximal and distal denervation borders among surgeons.
• Standardization of the SVP technique is ongoing.

Purpose:

• To discuss the current standardization of selective proximal vagotomy (SVP).
• To highlight the variability in surgical practice regarding denervation margins in SVP.
• To provide recommendations on the adjunctive use of pylorplasty in SVP.

Summary:

• Selective proximal vagotomy (SVP) appears to be a standardized surgical technique.
• Discrepancies in the proximal and distal denervation boundaries are noted in current practice.
• Pylorplasty is advised solely for patients experiencing retention or stenoses post-SVP.

Impact:

• Clarifies optimal surgical practice for selective proximal vagotomy.
• Aims to reduce variability in SVP procedures.
• Provides evidence-based guidance on the indications for concomitant pylorplasty.