Outcome of laparoscopic repair of perforated duodenal ulcers

Aljohari, Hisham; Al-Thani, Hassan; Elmabrok, Gameela; Hajaji, Khairy; Taha, Ibrahim

doi:10.11622/smedj.2013076

Cited by 3 publications

(6 citation statements)

References 23 publications

(22 reference statements)

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“…Conversion was mainly associated with technical difficulties which were impossible to predict before the operation. The conversion rate is still high in many clinics; in some studies it reaches 28.5–30.4% [4, 12–14, 16]. In 2 cases of conversion in our study there were difficulties in suturing.…”

Section: Discussionmentioning

confidence: 48%

“…In many studies the average duration of surgery of laparoscopic repair was 65–95 min (range: 25–190 min) [4, 9, 12, 14, 22, 23]. In some studies duration of the operation was significantly longer in the laparoscopy group than in the open group [22, 23].…”

Section: Discussionmentioning

confidence: 99%

“…In recent decades laparoscopic repair of duodenal perforation has been widely used in many clinics in the USA, Western Europe and Asia, with favorable results [1, 12, 14–18].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic and open repair for perforated duodenal ulcer: single-center experience.

Stepanyan

Petrosyan

Safaryan

et al. 2018

Videosurgery and Other Miniinvasive Techniques

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IntroductionPerforation is a dangerous complication of peptic ulcer disease and requires emergency surgical treatment. In recent decades laparoscopic repair of duodenal perforation has been widely used in emergency abdominal surgery.AimTo analyze laparoscopic and open surgical treatment of 120 consecutive patients with perforated duodenal ulcer.Material and methodsThe study included a group of 120 consecutive patients, operated on for perforated duodenal ulcer in a single institution. Laparoscopic or open repair with or without an omental patch was performed. The value of the Boey score was investigated in predicting the outcomes of treatment in the entire study group.ResultsIn 61 (50.8%) cases open repair was performed, in 56 (46.7%) cases laparoscopic repair, and in 3 (2.5%) cases conversion was performed. In the laparoscopy group the mean hospital stay was 5 days (range: 3–14), in the open group 11.7 days (range: 6–63), and in the conversion group 9.3 days (8–10) (p < 0.001). There was a significant difference between characteristics of patients in the laparoscopic groups: in the second period of laparoscopic procedures (2014–2017) the duration of the operation was significantly shorter and the number of postoperative complications was significantly lower than in the initial study group (2010–2013).ConclusionsThe laparoscopic approach is an effective method for treatment of perforated duodenal ulcer in selected cases. A number of 20–25 cases for the surgeon operating with the laparoscopic method is sufficient to achieve an acceptable level of expertise. More prospective randomized studies are needed to evaluate the effectiveness of laparoscopic repair of perforated duodenal ulcer.

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic and open repair for perforated duodenal ulcer: single-center experience.

Stepanyan

Petrosyan

Safaryan

et al. 2018

Videosurgery and Other Miniinvasive Techniques

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“…Open surgical technique and decades later the laparoscopic closure of a perforated duodenal ulcer represents a standard treatment with reoperation rates below 5% …”

Section: Discussionmentioning

confidence: 99%

“…Open surgical technique and decades later the laparoscopic closure of a perforated duodenal ulcer represents a standard treatment with reoperation rates below 5%. [1][2][3] When primary surgery for perforated ulcers fails or when the perforation is accompanied by considerable periduodenal inflammation and is too big for a traditional Graham patch procedure, this usually represents a challenging and complicated procedure. One option includes a larger resection as in a Billroth II procedure, carrying a significant risk of morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic stent treatment of a duodenal ulcer perforation using a semi‐covered stent

Holm

Ólafsson

Kazaryan

2019

Clinical Case Reports

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Is Laparoscopic Surgery Becoming the First Choice in Treatment of Perforated Peptic Ulcer?

Popa

Mușat

Păduraru

et al. 2020

RoJES

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Perforated peptic ulcer (PPU), a significant complication of peptic ulcer disease, has proven to be associated with high rates of mortality and morbidity and to this day, it remains a clear indication of emergency surgery. Whilst open repair remains a feasible treatment option for this complication, the development of laparoscopic surgery has brought along new perspectives, by revealing the benefits and drawbacks of this procedure and therefore raising the question whether it should be the first choice in treatment of a PPU. A literature search was performed using PubMed, Web of Science and Scopus, with the selection of relevant articles from the last 15 years. By comparing the two surgical approaches, conventional and laparoscopic, we aimed to identify the reasons laparoscopy is gaining ground as a mean of treatment of a PPU. Outcomes such as hospital stay, complication rates, use of postoperative analgesics and visual analogue scale favored laparoscopy. The most heterogeneous result was dictated by the operation time, which seems to correlate with multiple factors, a major one being the learning curve and skills this procedure requires. In addition, a significant number of papers had developed patient inclusion and exclusion criteria, which impacted the results of outcomes like morbidity and mortality. There is a lot of evidence that points to laparoscopy becoming the preferred method of treatment of a PPU, however further research is needed in order to reach a consensus.

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Outcome of laparoscopic repair of perforated duodenal ulcers

Cited by 3 publications

References 23 publications

Laparoscopic and open repair for perforated duodenal ulcer: single-center experience.

Laparoscopic and open repair for perforated duodenal ulcer: single-center experience.

Endoscopic stent treatment of a duodenal ulcer perforation using a semi‐covered stent

Is Laparoscopic Surgery Becoming the First Choice in Treatment of Perforated Peptic Ulcer?

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