title: [A comparison of laparoscopic versus open repair for the surgical treatment of perforated peptic ulcers].
abstract: OBJECTIVE
  To analyse the outcomes of laparoscopic versus open repair for perforated peptic ulcers (PPU).
  
  
  METHODS
  All patients undergoing PPU repair between January 2002 and March 2012 were included in the study. Demographic characteristics, operation time, complications, and length of hospital stay were evaluated.
  
  
  RESULTS
  Two hundred and twelve patients (median age, 49 years) were included, 60 in the laparoscopic group and 52 in the open group. Patients operated laparoscopically were significantly younger and had a higher consumption of tobacco, alcohol and cannabis. Median acute symptoms time was shorter in the laparoscopic group (6h) compared to the open group (12h; P=.025) Symptoms time was shorter in the laparoscopic group. Median operating time was significantly longer in the laparoscopic group (104.5min vs. 76min, P=.025). The percentage of conversion to open repair was 25%. There was no difference in morbidity between 2 groups, but there were 3 deaths in the open group. Median hospital stay was significantly shorter in patients treated laparoscopically when compared with the open group (6 days vs. 8 days; P=.041).
  
  
  CONCLUSIONS
  Laparoscopic and open repair are equally safe in the management of PPU. A shorter hospital stay can be achieved in the laparoscopic group.
authors: Sección de Cirugía Gastrointestinal, Hospital Universitario del Mar, Institut Hospital del Mar d'Investigacions Mèdiques IMIM, Universitat Autònoma de Barcelona, Barcelona, España.
authors: Gerardo
authors: G
authors: Domínguez-Vega
authors: Manuel
authors: M
authors: Pera
authors: José M
authors: JM
authors: Ramón
authors: Sonia
authors: S
authors: Puig
authors: Estela
authors: E
authors: Membrilla
authors: Joan
authors: J
authors: Sancho
authors: Luis
authors: L
authors: Grande
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult