BACKGROUND: Surgery is the mainstay of treatment of patients with peptic duodenal perforation. With the advent of minimal access techniques, laparoscopy is being used for the treatment of this condition. METHODS: Retrospective analysis of 120 consecutive patients (mean age 44.5 years; 111 men) with duodenal ulcer perforation who had undergone laparoscopic surgery. RESULTS: 87 patients had history of tobacco consumption, 12 were chronic NSAID users, 72 had Helicobacter pylori infection and 36 had a co-morbid condition. The mean time to surgery from onset of symptoms was 28.4 hours. The median operating time was 46 minutes. All patients underwent laparoscopic closure of the perforation with Graham's patch omentopexy; 12 patients underwent additional definitive ulcer surgery. The morbidity rate was 7.5%; no patient needed conversion to open surgery or died. The mean postoperative hospital stay was 5.8 days. CONCLUSION: Results of laparoscopic management of perforated peptic ulcer are encouraging, with no conversion to open surgery, low morbidity and no mortality.
BACKGROUND: Surgery is the mainstay of treatment of patients with peptic duodenal perforation. With the advent of minimal access techniques, laparoscopy is being used for the treatment of this condition. METHODS: Retrospective analysis of 120 consecutive patients (mean age 44.5 years; 111 men) with duodenal ulcer perforation who had undergone laparoscopic surgery. RESULTS: 87 patients had history of tobacco consumption, 12 were chronic NSAID users, 72 had Helicobacter pyloriinfection and 36 had a co-morbid condition. The mean time to surgery from onset of symptoms was 28.4 hours. The median operating time was 46 minutes. All patients underwent laparoscopic closure of the perforation with Graham's patch omentopexy; 12 patients underwent additional definitive ulcer surgery. The morbidity rate was 7.5%; no patient needed conversion to open surgery or died. The mean postoperative hospital stay was 5.8 days. CONCLUSION: Results of laparoscopic management of perforated peptic ulcer are encouraging, with no conversion to open surgery, low morbidity and no mortality.
Authors: Markus K Muller; Simon Wrann; Jeannette Widmer; Jennifer Klasen; Markus Weber; Dieter Hahnloser Journal: World J Surg Date: 2016-09 Impact factor: 3.352
Authors: Flore Vărcuş; Mircea Beuran; Ioan Lica; Claudiu Turculet; Adrian Valentin Cotarlet; Stefan Georgescu; Dan Vintila; Dan Sabău; Alexandru Sabau; Constantin Ciuce; Vasile Bintintan; Eugen Georgescu; Razvan Popescu; Cristi Tarta; Valeriu Surlin Journal: World J Surg Date: 2017-04 Impact factor: 3.352
Authors: Piotr Budzyński; Michał Pędziwiatr; Agata Grzesiak-Kuik; Michał Natkaniec; Piotr Major; Maciej Matłok; Maciej Stanek; Mateusz Wierdak; Marcin Migaczewski; Magdalena Pisarska; Andrzej Budzyński Journal: Wideochir Inne Tech Maloinwazyjne Date: 2015-09-11 Impact factor: 1.195