Abdominal wall-lifting laparoscopic simple closure for perforated peptic ulcer.
OBJECTIVE
To develop and simplify the laparoscopy-assisted simple closure of perforated peptic ulcers by using conventional instruments and techniques.


METHODS
An abdominal wall-lifting method was applied for laparoscopic simple closure with omental patch on 6 perforated peptic ulcer patients without using the pneumoperitonium. Our procedure added a 2 cm long right upper quadrant (RUQ) window over the perforation hole to enable the use of conventional instruments and techniques for simple closure, as well as thorough normal saline irrigation of the abdominal cavity.


RESULTS
Satisfactory results were attained without mortality or morbidity. Benefits included small operation wounds and less need for analgesics.


CONCLUSIONS
The RUQ window simplifies the suture/ligation technique by enabling the use of conventional instruments in laparoscopic surgery for perforated peptic ulcer. This procedure can be an alternative to the laparoscopic closure of perforated peptic ulcer.
Chang
Y C
YC
Department of Surgery, National Cheng Kung University Medical Center, Tainan, Taiwan. changyc@mail.ncku.edu.tw
D000009:Abdominal Muscles; D006801:Humans; D010535:Laparoscopy; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D013523:Surgical Equipment