Exploration revealed a large antral ulcer anteriorly. This antral ulcer is adjacent to the pylorus. I cut out the ulcer and submitted it for histopathology to check for cancer. Next, the pylorus was cut open and pyloroplasty was carried out using 2 layer closure. …… Then, the vagal nerves were identified. The left anterior vagal nerve was first identified and a right angle clamp was used to hold it up and 2 clips were placed proximal and distal prior to its division. The peritoneum between the esophagus and liver was opened up and the esophagus was dissected circumferential. The posterior right vagal nerve was identified and a right angle clamp was used to hold it up followed by the nerve foot and the clip was placed proximal and distal x2 and vagal nerve was divided.