Laparoscopic repair of perforated duodenal ulcer |
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| Authors: | M. L. Druart R. Van Hee J. Etienne G. B. Cadière J. F. Gigot M. Legrand J. M. Limbosch B. Navez M. Tugilimana E. Van Vyve L. Vereecken E. Wibin J. P. Yvergneaux |
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| Affiliation: | (1) Medical and Surgical Unit of Gastroenterology, Hospital Center Etterbeeck-CHEI, Brussels, Belgium, BE;(2) Academic Surgical Center Stuivenberg, University of Antwerp—UIA, A.Z. Stuivenberg, Lange Beeldekensstraat 267, B-2060 Antwerpen, Belgium, BE;(3) The Belgian Group for Endoscopic Surgery, Feluy, Belgium, BE |
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| Abstract: | ![]()
Background: A series of 100 consecutive patients with perforated peptic ulcer were prospectively evaluated in a multicenter study. The feasibility of the laparoscopic repair was evaluated. Methods: All patients had peritonitis, 20% were in septic shock, and 57% had delayed perforation. Conversion to laparotomy was necessary in eight patients. The morbidity rate was 9% and mortality rate 5%. Results: The mean delay of postoperative gastric aspiration (mean 3.4 days) and resumed food intake (mean 4.4 days) as well as the mean postoperative hospital stay (mean 9.3 days) were comparable to conventional surgery, but postoperative comfort was subjectively increased by laparoscopy and noticed by all laparoscopic surgeons participating in this study. Conclusions: Laparoscopic repair of perforated peptic ulcer proves to be technically feasable and carries an acceptable morbidity and mortality rate, compared with conventional surgery. Received: 16 August 1996/Accepted: 1 April 1997 |
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| Keywords: | : Peptic ulcer — Perforation — Raphy — Omentoplasty — Peritonitis — Laparoscopic treatment |
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