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ISSN 1665-2576 (Print)

2005, Number 2

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Rev Mex Cir Endoscop 2005; 6 (2)

Laparoscopic repair of a perforated peptic ulcer

Franklin M, Gálvez HC, Villegas CO, Rodríguez CL, Treviño J, Rangel PJ

Language: Spanish
References: 27
Page: 74-78
PDF size: 44.77 Kb.


ABSTRACT

Background: In 1990, Mouret et al reported the first successful laparoscopic repair of a perforated peptic ulcer. Since then, several series of patients successfully treated by laparoscopic surgery have been published. Apparently, the urgent treatment by minimally invasive surgery is so effective, with acceptable morbidity and mortality rates compared to conventional surgery. Patients and methods: From January 1996 to November 2004, 31 patients underwent laparoscopic repair of a perforated peptic ulcer. The employed surgical technique was primary closure of the ulcer + Graham patch. The measured variables to evaluate efficacy and safety were operating time, length of hospital stay, time to resume diet, conversion to open procedure, re-operations, morbidity and mortality. Results: The procedure was technically successful in 90% of the patients. There were neither conversions nor need to re-operate. Mortality rate was 9%. The mean length of hospital stay and time to resume diet were 8 and 4 days, respectively. Conclusions: We regard that our series contributes to support that nowadays the laparoscopic approach of this disease is a safe and effective method.


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