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Eur J Surg. 1999 Mar;165(3):209-14.

Laparoscopic and open operation in patients with perforated peptic ulcer.

Author information

1
Surgical Department, Central Hospital of Akershus, Nordbyhagen, Norway.

Abstract

OBJECTIVES:

To compare the results of laparoscopic and open operations in patients with perforated peptic ulcer.

DESIGN:

Retrospective analysis.

SETTING:

Central hospital, Norway.

SUBJECTS:

74 patients (36 men, 38 women, median age 69.5 years (18-86)) admitted with perforated peptic ulcers from November 1991-May 1996.

INTERVENTIONS:

Suture of the ulcer, patching with the greater omentum and lavage, in 49 by open operation and 25 laparoscopically.

MAIN OUTCOME MEASURES:

Duration of postoperative hospital stay, operating time, number of doses of analgesic, postoperative body temperature, complications, and mortality.

RESULTS:

There was a significant difference (p = 0.0001) in median operating time: 100 minutes (range 48-160) in the laparoscopic group and 50 minutes (range 20-160) in the open group. The median hospital stay was 8 days in both groups: range 3-23 days in the laparoscopic group and 2-28 days in the open group. There were no significant differences between the two groups with regard to median number of doses of analgesic, median body temperature, complications or mortality.

CONCLUSION:

Laparoscopic operation for perforated peptic ulcer can be considered as safe as open operation.

PMID:
10231653
DOI:
10.1080/110241599750007063
[Indexed for MEDLINE]

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