This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Laparoscopic vagotomy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Laparoscopic vagotomy is a recently pioneered method of treating peptic ulcer disease. Three techniques have been suggested:

  • anterior lesser curve seromyotomy and posterior truncal vagotomy:
    • a pneumoperitoneum is created and 5 cannulae inserted across the abdomen
    • the lesser omentum is dissected
    • the peritoneum and right crus are dissected from the oesophagus using a diathermy hook
    • the posterior vagus is identified and transected between two clips
    • the seromyotomy is produced by the diathermy hook incising at the same time as forceps retract the edges
    • the seromyotomy is sealed with suture

  • posterior truncal vagotomy and selective anterior vagotomy:
    • the set-up is similar to that just described and the posterior truncal vagus is divided in a similar way
    • the serosa on the lesser curve of the stomach is opened in order to show individual branches of the vagus under magnification
    • branches to the gastric antrum are preserved whereas those to the cardia are not

  • truncal vagotomy combined with pneumatic dilatation of the pylorus:
    • both anterior and posterior vagal nerves are divided
    • to guard against problems with gastric emptying, a balloon is endoscopically placed within the pylorus and inflated to a pressure adequate to partially rupture oblique and circular muscle

Patients generally return home after five days and are back to work in ten.


Related pages

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.