Laparoscopic and conventional closure of perforated peptic ulcer |
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Authors: | M Miserez E Eypasch W Spangenberger R Lefering H Troidl |
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Institution: | (1) Department of Surgery II, University of Cologne, Krankenhaus Merheim, Ostmerheimer Straße 200, D-51109 Köln, Germany |
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Abstract: | Background: After the first successful laparoscopic closure of a perforated peptic ulcer in 1990, 18 patients with laparoscopic closure were compared to 16 patients with conventional surgery.
Methods: The endpoint adverse events (complications), pain intensity, operation time, fever, leucocytosis, and duration of hospital stay showed no clinically relevant differences.
Results: Consumption of analgesics was lower in the laparoscopic group.
Conclusions: Laparoscopic closure of perforated peptic ulcer is technically feasible. The safety of the method and the benefit for the patient need proof by means of a randomized controlled trial. |
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Keywords: | Ulcer perforated peptic Closure laparoscopic vs conventional |
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