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Video-assisted thoracoscopic truncal vagotomy

P Palma1, H Kistler, H Bauer

  • 1Department of Surgery, Altötting Hospital, University of Munich, Germany.

Revista Espanola De Enfermedades Digestivas
|February 1, 1997
PubMed
Summary

Thoracoscopic truncal vagotomy offers a safe and effective treatment for recurrent ulcers post-gastrectomy. This minimally invasive approach resulted in no complications and rapid recovery for patients.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Recurrent peptic ulcers can occur after Billroth-II gastrectomy.
  • Truncal vagotomy is a treatment option for such ulcers.

Observation:

  • Three patients with recurrent ulcers post-Billroth-II gastrectomy underwent thoracoscopic truncal vagotomy.
  • The procedure utilized double-lumen endotracheal-endobronchial intubation and single-lung ventilation.

Findings:

  • The thoracoscopic truncal vagotomy procedure had no associated morbidity or mortality.
  • Patients experienced a mean hospitalization of 7 days.
  • No recurrent ulceration was observed in the patients during follow-up.

Implications:

  • Thoracoscopic truncal vagotomy is a rapid, simple, and safe surgical approach.

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  • This technique may be a preferred option for managing recurrent peptic ulcers in patients with prior gastrectomy.