Objective To explore the clinical value of the improved laparoscopic Taylor operation in treatment for perforated duodenal ulcer. Methods 44 cases were randomly divided into two groups, observation group undergoing improved laparoscopic Taylor Operation,and control group receiving regular Taylor Operation,22 cases in each group. The average operation time,the average hospitalization time,the curative effect and the average basal gastric acid (BAO)secretion were compared. The effect was evaluated according to Visick classification standard. Results The operation and hospitalization average time of the observation group were significantly shorter than those of the control group (P < 0. 05). There was no significant difference (P > 0. 05)in the BAO before operation,while there was significant significance (P <0. 05)in the BAO after operation. The excellent rate of the observation group evaluated by Visick grading standard was 95. 46% ,while that of the control group was 86. 36% . During a followup of 1 to 2 years after operation,there was no recurrence of ulcer in observation group,there was 1 case of recurrence of ulcer in the control group. Conclusions The modified laparoscopic Taylor Operation preserves the continuity of gastric cardia and fundus function without cutting off the seromuscular layer of gastric fundus,and reduces gastric acid output by the neurotomy of cardia downward branch of anterior vagal trunk and the gastric body turnback branch of the crow’s foot,worthy of clinical application.

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