Published online Mar 16, 2023. doi: 10.12998/wjcc.v11.i8.1862
Peer-review started: January 7, 2023
First decision: January 17, 2023
Revised: January 19, 2023
Accepted: February 21, 2023
Article in press: February 21, 2023
Published online: March 16, 2023
Processing time: 58 Days and 23 Hours
Core Tip: While postoperative gastroparesis is quite common in patients undergoing vagotomy for peptic ulcers and pylorus-sparing pancreatoduodenectomy, there are few reports following lobectomy. We report a rare case of gastroparesis after video-assisted thoracoscopic surgery. Since there was no evidence of drug-induced or electrocyte disorder-related gastrointestinal dysfunction, intraoperative periesophageal vagal nerve injury was most likely to account for gastroparesis. Clinicians should keep in mind that there is a potential possibility of vagal nerve injury after thoracic surgery even without direct nerve operation. For patients suffering gastroparesis after video-assisted thoracic surgery, conservative treatment, including gastrointestinal decompression and prokinetic medicines, can help relieve symptoms.
