title: The applicability of laparoscopic gastrectomy in the surgical treatment of giant duodenal ulcer perforation.
abstract: OBJECTIVE
  The present study aims to provide an applicability of laparoscopic gastrectomy used in the treatment of giant duodenal ulcer perforation.
  
  
  METHODS
  Between July 2010 and April 2011, laparoscopic distal gastrectomy with ROUX-EN-Y gastrojejunostomy and truncal vagotomy was performed in consecutive 5 patients with giant duodenal ulcer perforation.
  
  
  RESULTS
  There was no conversion to open surgery. There was no severe postoperative complication. The days of normalization of leukocytosis were 3, 1, 2, 2, and 5, respectively. The times to first flatus were postoperative days 2, 3, 5, 2, and 3. The days of commencement of a soft diet were postoperative days 5, 5, 6, 5, and 5. They were discharged on postoperative days 9, 11, 20, 10, and 11.
  
  
  CONCLUSIONS
  We suggest that laparoscopic surgery may be a good surgical method to improve surgical outcomes and is worth a try in experts.
authors.affiliation: Department of Surgery, Hanyang University Guri Hospital, Guri, Korea.
authors.forename: Min Gyu
authors.initials: MG
authors.lastname: Kim
authors.forename: Hwon Kyum
authors.initials: HK
authors.lastname: Park
authors.forename: Jae Jung
authors.initials: JJ
authors.lastname: Park
authors.forename: Hong Gi
authors.initials: HG
authors.lastname: Lee
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Nam
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D020127:Recovery of Function; D017792:Surgical Stapling / Q000379:methods; D016896:Treatment Outcome