Laparoscopic and conventional closure of perforated peptic ulcer. A comparison.
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.
Miserez
M
M
Department of Surgery II, University of Cologne, Krankenhaus Merheim, Ostmerheimer Strasse 200, D-51109 Köln, Germany.
Eypasch
E
E
Spangenberger
W
W
Lefering
R
R
Troidl
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013276:Stomach Ulcer / Q000150:complications*; D016896:Treatment Outcome