title: [Laparoscopic approach to perforated duodenal ulcer].
abstract: As laparoscopy becomes more prevalent, it is being used for a growing variety of abdominal operations, both electively and as emergency treatment. We describe our preliminary experience in laparoscopic repair of perforated duodenal ulcer. 2 women and 2 men, aged 40-78 were operated over a period of 4 months and in all laparoscopic suture and omentopexy were performed with meticulous abdominal lavage. Despite somewhat longer operative time but a similar period of hospitalization, the easier post-operative course and fewer wound complications justify this technique. The effectiveness of medical treatment of peptic disease, and especially the anti-Helicobacter pylori regimen, supports the view that closure of the perforation is usually enough, and vagotomy is not needed.
authors.affiliation: Dept. of General Surgery and Transplantation, Sheba Medical Center, Tel Hashomer.
authors.forename: D
authors.initials: D
authors.lastname: Rosin
authors.forename: Y
authors.initials: Y
authors.lastname: Kurianski
authors.forename: M
authors.initials: M
authors.lastname: Shabtai
authors.forename: A
authors.initials: A
authors.lastname: Ayalon
mesh_terms: D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000209:etiology / Q000601:surgery*; D005260:Female; D016481:Helicobacter Infections / Q000150:complications; D016480:Helicobacter pylori; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control