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Vagotomies--laparoscopic or thoracoscopic approach
1Department of General Surgery, University of Paris, France.
Endoscopic Surgery and Allied Technologies
|April 1, 1994
Summary
Truncal vagotomy complications are often overstated. Minimally invasive approaches like laparoscopy and thoracoscopy offer fair immediate results with no major complications in a small series.
Area of Science:
- Surgical techniques
- Gastrointestinal surgery
Background:
- Truncal vagotomy is a surgical procedure.
- Potential complications and sequelae are frequently discussed in surgical literature.
Purpose of the Study:
- To reconsider indications for vagotomy with the advent of minimally invasive surgery.
- To outline laparoscopic and thoracoscopic techniques for vagotomy.
Main Methods:
- Review of surgical literature regarding truncal vagotomy.
- Description of laparoscopic and thoracoscopic vagotomy techniques.
- Clinical experience with twenty-one vagotomies.
Main Results:
- No major complications were observed in twenty-one vagotomies.
- Immediate results of the procedures were deemed fair.
Conclusions:
- Complications of truncal vagotomy may be overemphasized.
- Minimally invasive vagotomy techniques (laparoscopic, thoracoscopic) are feasible and appear safe in initial experiences.