A Simple Method of Truncal Vagotomy for the Definitive Treatment of Chronic Duodenal Ulcer Perforation.

Objective: To present a simple method of truncal vagotomy procedure, especially for the posterior vagal trunk, for standard definitive treatment of chronic duodenal ulcer perforation, in operable patients with suspected low compliance to receive a complete course of postoperative Helicobacter pylori eradication. Material and methods: A retrospective review of patients who underwent truncal vagotomy and pyroloplasty versus simple closure of perforation site for chronic duodenal ulcer perforation between September 2012 and June 2017. Clinical characteristics and surgical outcomes of patients, and details of surgical techniques for easy posterior truncal vagotomy were described. Result: There were 28 chronic duodenal ulcer perforation patients in this study. Sixteen patients underwent simple closure perforation site with non-absorbable suture. Twelve patients underwent truncal vagotomy and modified Heineke-Mikulicz pyloroplasty. The ASA functional classification, co-morbid diseases and baseline characteristic of patients between both groups were similar. The operative time was also not significantly different between operations. There was no morbidity and mortality at the 30 days of follow up. Conclusion: Simple posterior truncal vagotomy can be done safely with similar operative time as for simple closure in patients with perforated chronic duodenal ulcer. [ABSTRACT FROM AUTHOR]