title: Laparoscopic repair of perforated peptic duodenal ulcer.
abstract: Although prevalence of peptic ulcer is decreasing, the number of peptic ulcer perforations appears to be unchanged. This complication of peptic ulcer is traditionally surgically treated. In recent years, a number of papers have been published where the authors managed perforated duodenal peptic ulcer in selected patients using laparoscopic approach. Laparoscopic treatment of perforated duodenal ulcer has been described as safe and advantageous compared to open technique but advantages are still not clear due to small number of cases in published studies. Based on these recommendations we decided to establish our own protocol for laparoscopic treatment of perforated peptic duodenal ulcer. In this prospective study we evaluated the first 10 patients in whom we performed laparoscopic repair of perforated duodenal ulcer. There were no conversions to open procedure and no early postoperative complications. The patients were contacted by phone a year after the operation, and all were satisfied with the operation and the appearance of postoperative scars. We regard laparoscopic repair of selected patients with perforated duodenal ulcer as a safe and preferable treatment.
authors.affiliation: University Hospital Dubrava, Zagreb, Croatia. zbusic@kbd.hr
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Busić
authors.forename: Draien
authors.initials: D
authors.lastname: Servis
authors.forename: Ferdinand
authors.initials: F
authors.lastname: Slisurić
authors.forename: Jozo
authors.initials: J
authors.lastname: Kristek
authors.forename: Marijan
authors.initials: M
authors.lastname: Kolovrat
authors.forename: Vlatka
authors.initials: V
authors.lastname: Cavka
authors.forename: Mislav
authors.initials: M
authors.lastname: Cavka
authors.forename: Kristijan
authors.initials: K
authors.lastname: Cupurdija
authors.forename: Leonardo
authors.initials: L
authors.lastname: Patrlj
authors.forename: Ante
authors.initials: A
authors.lastname: Kvesić
mesh_terms: D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011446:Prospective Studies