title: [The technique of proximal selective vagotomy (author's transl)].
abstract: A standard technique of proximal selective vagotomy is described (PSV) that has proved reliable and safe in a broad multicenter clinical trial. We proceed in six steps: (1) determination of the antral-fundic boundary by anatomic criteria; (2) preliminary vagomotor electrotest; (3) identification of the nerve trunks and branches to be preserved; (4) dissection of the lesser curvature; (5) dissection of the cardia and of the intraabdominal esophagus up to 6 cm above the cardia; and (6) intraoperative assessment of completeness by the vagomotor electrotest. PSV is usually carried out without a drainage procedure.
mesh_terms: D002299:Cardia / Q000601:surgery; D004322:Drainage; D004381:Duodenal Ulcer / Q000601:surgery; D006801:Humans; D009852:Omentum / Q000601:surgery; D013276:Stomach Ulcer / Q000601:surgery; D013537:Sutures; D014628:Vagotomy / Q000379:methods*
vernacular_title: Die Technik der proximal-selektiven Vagotomie.