The intraoperative measures preventing functional complications after vagotomy were determined in performing organ-saving operations on 63 patients with complications of ulcer disease of the duodenum. Truncal vagotomy must be supplemented with draining operation. The draining operations should be carried out with the dissection of the cicatricial-ulcerous infiltration. The gastroduodenal anastomosis in draining operation should be formed by a one-row suture. When performing selective proximal vagotomy and its variants it is necessary to avoid iatrogenic damage of the Laterge nerve and its terminal part--"crow's feet". Mobilization of the abdominal part of the esophagus during different variants of selective proximal vagotomy must be fulfilled along the length not more than 5 cm proximal to the gastro-esophageal passage and to be associated with a correcting operation on the esophagocardial part.

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