Laparoscopic suture closure of perforated peptic ulcer. A nonrandomized comparison with open surgery.
BACKGROUND
Laparoscopic vs open suture in the surgical treatment of perforated peptic ulcer were compared in a retrospective study.


METHODS
The outcome of 10 patients having the laparoscopic procedure was compared with the outcome of 17 patients treated with suture via laparotomy during the same time period.


RESULTS
The mortality rate and the complication rate were comparable. The laparoscopic procedure was more time consuming; hospital stay did not differ.


CONCLUSIONS
The results indicate that surgery for perforated peptic ulcer can be performed with the laparoscopic technique with an outcome comparable to open surgery. No obvious advantages to the patient were noted with the laparoscopic method.
Johansson
B
B
Department of Surgery, Norra Alvsborgs Länssjukhus, 461 85 Trollhättan, Sweden.
Hallerbäck
B
B
Glise
H
H
Johnsson
E
E
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011897:Random Allocation; D013537:Sutures