VIDEO-ASSISTED THORACOSCOPIC TRUNCAL VAGOTOMY

Thoracoscopic truncal vagotomy was performed in three patients with re current ulcer after previous Billroth-II gastrectomy. The technique in volved double-lumen endotracheal-endobronchial intubation and single-l ung ventilation. No morbidity or mortality existed and the mean hospit alization was 7 days. To date, no recurrent ulceration has been detect ed in these patients, Thoracoscopic truncal vagotomy is considered to be a rapid, simple and safe approach and thus could play a preferentia l role in the management of patients with recurrent peptic ulcer after previous gastrectomy.