Vagotomies--laparoscopic or thoracoscopic approach.

The complications and sequelae of truncal vagotomy have been overemphasized in the surgical literature. With the introduction of minimally invasive techniques, the indications for vagotomy have to be reconsidered. The procedure can be performed either by laparoscopy or by thoracoscopy. The techniques for these approaches are outlined. In an experience of twenty-one vagotomies no major complication occurred, and the immediate results are fair.