Selective vagotomy: A review of the anatomy and technique in 100 patients

Abstract

The anatomy, as demonstrated at operation, has been studied in a series of IOO selective vagotomies. The existence of a considerable number of variations was confirmed. I n 33 per cent there was more than one large anterior trunk, but multiple posterior trunks were noted in only 5 per cent. Additional small nerves on the lower oesophagus were reported in 47 per cent of cases. Other variations are described. A technique for selective vagotomy is presented.

Risk factors for delayed gastric emptying following laparoscopic repair of very large hiatus hernias

“…Owing to the close anatomical relationship between the vagal trunks and the distal oesophagus, gastro‐oesophageal junction and proximal stomach, it has been postulated that the combination of extensive sac dissection, oesophageal mobilization and gastric fundus manipulation predisposes to accidental vagotomy15 16, 33 34. This is further complicated by the observation that vagal nerve anatomy at the level of the hiatus and gastric fundus is highly variable, with studies35, 36, 37, 38 reporting accessory vagal trunks or fibres in over 40 per cent of patients. These accessory fibres typically arise from early division from the left and right vagal nerves, or directly from the oesophageal plexus.…”

Late results of bilateral selective vagotomy and pyloroplasty for duodenal ulcer: 5–9-year follow-up

“…In 1966 Tanner, who from 1950 had appreciated the advantages of the procedure, published a personal technique of selective vagotomy which has been adopted by many surgeons. Other authors have also adopted personal techniques which have proved effective, all of them conducing to the same end-the preservation of the extragastric branches (Smith and Farris, 1963;Amdrup et al, 1967;Grassi, 1967;Narbona, 1968;Ruckley et al, 1970).…”

Η Επειγουσα Χειρουργικη Αντιμετωπισις Του Αιμορραγουντος Γαστροδωδεκαδακτυλικου Ελκους Και Της Αιμορραγικης Γαστριτιδος

“…Το μειονέκτημα τής απλής εκλεκτικής καί τής ύπερεκλεκτικής βαγοτο μής είναι, οτι προϋποθέτει άρτίαν γνώσιν τής ανατομικής διαιρέσεως των πνευμονογαστρικών νεύρων καί παρουσιάζει τεχνικάς δυσχέρειας λόγω τής απαιτουμένης εκτεταμένης παρασκευής καί ανατομής των γαστρικών κλάδων 267 . Κατά συνέπειαν ό εγχειρητικός χρόνος μακρύνεται καί δέν συνι στώνται ώς μέθοδοι εκλογής εις τήν έπείγουσαν χειρουργικήν των επιπλο κών τοϋ Γ.Δ.Ε.…”