title: Laparoscopic suture closure of perforated duodenal peptic ulcer.
abstract: The aim of this study was to assess the outcome of a continuous series of 30 patients with perforated duodenal peptic ulcers treated by a laparoscopic approach. Between January 1996 and December 1998, 30 patients (24 males, 6 females) with a mean age of 69.2 years were operated on with a laparoscopic approach. Laparoscopic treatment included peritoneal lavage, suture of the perforation, and omental patching in 24 cases. A conversion to laparotomy was necessary in five patients (16.6%). Mean operative time was 92 minutes (range: 58-114) and mean hospital stay was 6 days (range: 4-16). Mortality and morbidity rates were 6.6% (n = 2) and 16.6% (n = 5). With a median follow-up of 12 months, 96% of the patients were in good condition; one patient had recurrent duodenal ulceration. The results of our study show the feasibility of the laparoscopic approach for perforated peptic ulcer repair, with acceptable mortality and morbidity rates.
authors.affiliation: Department of Digestive Surgery, Angers University Hospital, France. tuechjjchuangers@yahoo.com
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Arnaud
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Tuech
authors.forename: Roberto
authors.initials: R
authors.lastname: Bergamaschi
authors.forename: Patrick
authors.initials: P
authors.lastname: Pessaux
authors.forename: Nicolas
authors.initials: N
authors.lastname: Regenet
mesh_terms: D000368:Aged; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009852:Omentum / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D010533:Peritoneal Lavage / Q000379:methods; D013537:Sutures; D016896:Treatment Outcome