In simple words: This is a minimally invasive surgery where the surgeon uses small incisions and a camera to cut specific nerves in your stomach area. It can be done as a "selective" procedure, focusing on two main nerves, or a "highly selective" procedure where more, smaller nerve branches are cut. This aims to reduce stomach acid production.

The provider uses laparoscopic technique to perform a selective (division of the anterior and posterior gastric nerves of Latarjet only) or highly selective vagotomy (denervation of only the stomach fundus and body, the parietal cell–containing areas).The procedure involves making small incisions in the abdomen, inflating it with carbon dioxide, inserting a laparoscope and other surgical instruments, and then dividing specific vagus nerves. Selective vagotomy involves dividing the anterior and posterior gastric nerves of Latarjet, while highly selective vagotomy involves dividing multiple smaller branches of the vagus nerves closer to the organs, preserving the main trunk and certain branches.

Example 1: A patient with a recurrent peptic ulcer unresponsive to medication undergoes a laparoscopic highly selective vagotomy to reduce stomach acid production., A patient with gastroparesis undergoes a laparoscopic selective vagotomy to improve stomach emptying., A patient with Zollinger-Ellison syndrome undergoes a laparoscopic selective vagotomy as part of their treatment plan.

Documentation should include details of the surgical approach (selective vs. highly selective), intraoperative findings, any complications encountered, and post-operative instructions.