Laparoscopic bilateral truncal vagotomy, antrectomy, and Billroth I anastomosis for prepyloric ulcer.

We present a case report of a 48-year-old woman with intractable prepyloric ulcers treated with laparoscopic bilateral truncal vagotomy, antrectomy, and Billroth I anastomosis. The patient was discharged from the hospital on the 5th postoperative day, eating a regular diet. Her postoperative recovery has been uneventful and without complications. Laparoscopic bilateral truncal vagotomy, antrectomy, and Billroth I may be the procedure of choice for intractable prepyloric and pyloric ulcers.