Abstract

GOMEZ HERNANDEZ, Mario M et al. Vagotomía transtorácica por videotoracoscopia. Rev Cubana Cir [online]. 2002, vol.41, n.2, pp. 82-87. ISSN 1561-2945.

The technical impossibility of performing a transabdominal truncal vagatomy and the incomplete vagotomy are a serious problem on treating ulcerous pathology, so the transthoracic truncal vagotomy by video-assisted thoracoscopy has become a preferential option to solve such contingency. A series of 7 patients who underwent this technique at the General Surgery Service of "Hermanos Ameijeiras" Clinical and Surgical Hospital from April, 1996, to October, 1999, is reported. 71.4 % of the patients had undergone vagotomy and pyloroplasty as an initial procedure, whereas 28.6 % had undergone only a drainage procedure without traansabdomianl truncal vagotomy, since the local or general conditions did not allow to do something different. In 57.1 %, the relapse symptoms appeared before the year of the first operation. The average surgical time was 80 min. A surgical accident was reported. The average postoperative stay was 3 days. 14.3 % of the postoperative relapse (n = 1) was observed in the follow-up. No death occurred with the use of this technique

Keywords : VAGOTOMY, TRUNCAL; THORACOSCOPY [methods]; STOMACH ULCER [surgery]; PEPTIC ULCER [surgery]; DIGESTIVE SYSTEM SURGICAL PROCEDURES.

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