Laparoscopic Vagotomy

  • Christine A. Cheng
  • Theodore N. Pappas


Peptic ulcer disease is primarily an affliction of the 20th century, although it was first identified in 1799 [1]. As the disease became widespread in the early to mid 1900s, antiulcer operations were developed and refined. Truncal vagotomy was introduced by Dragstedt and Owens in 1943 [2], and when paired with a drainage procedure, quickly superseded more extensive operations to become the mainstay of surgical therapy for peptic ulcer disease (Table 3–1). This and other procedures (Figure 3–1) soon made up a large proportion of elective abdominal surgery.


Duodenal Ulcer Peptic Ulcer Disease Celiac Plexus Truncal Vagotomy Selective Vagotomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Wilbur DL: The history of disease of the stomach and duodenum with reference also to etiology. In The Stomach and Duodenum. Edited by Eusterman GB, Balfour DL. Philadelphia: W.B. Saunders; 1935.Google Scholar
  2. 2.
    Dragstedt LR, Owens RM, Jr: Supradiaphragmatic section of vagus nerves in treatment of duodenal ulcer. Proc Soc Exp Biol Med 1943, 53:152–154.CrossRefGoogle Scholar
  3. 3.
    Mulholland MW, Debas HT: Chronic duodenal and gastric ulcer. Surg Clin North Am 1987, 67:489.PubMedGoogle Scholar
  4. 4.
    Szabo S: Gastroduodenal mucosal injury-acute and chronic: pathways, mediators, and mechanisms. J Clin Gastroenterol 1991, 13(suppl):S1-S8.Google Scholar
  5. 5.
    Selling JA, Hogan DL, Aly A, et al.: Indomethacin inhibits duodenal mucosal bicarbonate secretion and endogenous prostaglandin E2 output in human subjects. Ann Intern Med 1987, 106:368–371.PubMedCrossRefGoogle Scholar
  6. 6.
    Hentschel E, Brandstäatter G, Dragosics B, et al.: Effect of ranitidine and amoxicillin plus metronidazole on the eradication of Helicobacter pylori and the recurrence of duodenal ulcer. N Engl J Med 1993, 328:308–312.PubMedCrossRefGoogle Scholar
  7. 7.
    Mertz HR, Walsh JH: Peptic ulcer pathophysiology. Med Clin North Am 1991, 75:799–814.PubMedGoogle Scholar
  8. 8.
    Cheng TO: Glimpses of the past from the recently unearthed ancient corpses in China. Ann Intern Med 1984, 101:714–715.PubMedCrossRefGoogle Scholar
  9. 9.
    Lenepneau I: Cas de perforation der duodenum de lien d’une ancienne cicatrice de cet intestina. Gaz Hop 1838, 35:137.Google Scholar
  10. 10.
    Baillie M: The morbid anatomy of some of the most important parts of the human body. Edited by Johnson J, Nicol G. London; 1793.Google Scholar
  11. 11.
    Wölfler A: Resection of the cancerous pylorus performed by Professor Billroth. Edited by Absolon KB, Absolon M. Rev Surg 1968, 25:381.Google Scholar
  12. 12.
    Rydygier LV: Die erste magenusektion für geschwür. Berl Klin Wochensch 1882, 19:32.Google Scholar
  13. 13.
    Fronmüller R: Operation der Pylorus Stenose (Erlandgen Dessertation). Fürth: Schröder; 1886.Google Scholar
  14. 14.
    von Hacker V: Zur casuistik und statistik der magenresektionen und gastroenterotomieen. Arch Klin Chir 1885, 32:616.Google Scholar
  15. 15.
    Pavlov IP, Schumova-Simanovskaja E: Innervation der magendrüsen beim hunde. Zentralbl Physiol 1889, 3:113.Google Scholar
  16. 16.
    Wertheimer P, ed. L’Innervation et L’eenervutron Gastriques: Etude Anatomique, ÈExperimentale et Clinique. Lyon: Imprimérie-Express; 1922.Google Scholar
  17. 17.
    Latarjet A: Résection des nerfs de l’estomac. Bull Acad Natl Med (Paris) 1922, 87:681.Google Scholar
  18. 18.
    Weinberg JA, Stempien SJ, Movius HJ, et al.: Vagotomy and pyloroplasty in treatment of duodenal ulcer. Am J Surg 1956, 92:202–207.PubMedCrossRefGoogle Scholar
  19. 19.
    Griffith CA, Harkins HN: Partial gastric vagotomy: an experimental study. Gastroenterology 1957, 32:96.PubMedGoogle Scholar
  20. 20.
    Dubois F: Laparoscopic vagotomy. Edited by Cuschieri A, Buess G, Périssat J. Operative Manual of Endoscopic Surgery. Berlin: Springer Verlag; 1992.Google Scholar
  21. 21.
    Kum CK, Goh P: Laparoscopic vagotomy: a new tool in the management of duodenal ulcer disease [letter]. Br j Surg 1992, 79(9):977.PubMedCrossRefGoogle Scholar
  22. 22.
    Bailey RW, Flowers JL, Graham SM, et al.: Combined laparoscopic cholecystectomy and selective vagotomy. Surg Laparosc Endosc 1991, 1(1):45–49.PubMedGoogle Scholar
  23. 23.
    Mouiel J, Katkhouda N: Laparoscopic vagotomy for chronic duodenal ulcer disease. World J Surg 1993, 17:34–39.PubMedCrossRefGoogle Scholar
  24. 24.
    Laws HL, Naughton MJ, McKernan BJ: Thoracoscopic vagectomy for recurrent peptic ulcer disease. Surg Laparosc Endosc 1992, 2(1):24–28.PubMedGoogle Scholar
  25. 25.
    Chisholm EM, Chung SCS, Sunderland GT, et al.: Thoracoscopic vagotomy: a new use for the laparoscope. Br j Surg 1992, 79:254.PubMedCrossRefGoogle Scholar
  26. 26.
    Murphy JJ, McDermott EWM: Laparoscopic truncal vagotomy without drainage for the treatment of chronic duodenal ulcer. Irish Med 1991/1992, 84(4):125–126.Google Scholar
  27. 27.
    Nottle PD: Laparoscopic vagotomy for chronic duodenal ulcer. Med J Aust 1991, 155(9):648.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Christine A. Cheng
  • Theodore N. Pappas

There are no affiliations available

Personalised recommendations