Skip to main content
Log in

Laparoscopic and conventional closure of perforated peptic ulcer

A comparison

  • Original Articles
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background: After the first successful laparoscopic closure of a perforated peptic ulcer in 1990, 18 patients with laparoscopic closure were compared to 16 patients with conventional surgery.

Methods: The endpoint adverse events (complications), pain intensity, operation time, fever, leucocytosis, and duration of hospital stay showed no clinically relevant differences.

Results: Consumption of analgesics was lower in the laparoscopic group.

Conclusions: Laparoscopic closure of perforated peptic ulcer is technically feasible. The safety of the method and the benefit for the patient need proof by means of a randomized controlled trial.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Costalat G, Dravet F, Noel P, Alquier Y, Vernhet J (1991) Coeliosopic treatment of perforated gastroduodenal ulcer using the ligamentum teres hepatis. Surg Endosc 5: 154–155

    Google Scholar 

  2. Crofts TJ, Park KGM, Steele RJC, Chung SSC, Li AKC (1989) A randomised trial of nonoperative treatment for perforated peptic ulcer. N Engl J Med 320: 970–973

    Google Scholar 

  3. Cueto J, Weber A, Serrano F (1993) Laparoscopic treatment of perforated duodenal ulcer. Surg Laparosc Endosc 3: 216–218

    Google Scholar 

  4. Darzi A, Carey D, Menzies-Gow N, Monson JRT (1993) Preliminary results of laparoscopic repair of perforated duodenal ulcer. Surg Laparosc Endosc 3: 161–163

    Google Scholar 

  5. Eypasch E, Holthausen U, Wellens E, Troidl H (1994) Laparoscopic Nissen fundoplication: potential benefits and burdons. In: Röher H-D, Heise JW, Verreet PR, Varney M (eds) Update in gastric surgery. Georg Thieme Verlag, Stuttgart, pp 70–73

    Google Scholar 

  6. Hebebrand D, Troidl H, Spangenberger W, Neugebauer E, Schwalm T, Günther MW (1994) Laparoskopische oder klassische Appendektomie? Chirug 65: 112–120

    Google Scholar 

  7. Linder MM, Wacha H, Feldmann U, Wesch G, Streifensand RA, Gundlach E (1987) Der Mannheimer Peritonitis-Index. Chirug 58: 84–92

    Google Scholar 

  8. Mouret P, Francois Y, Vignal J, Barth X, Lombard-Platet R (1990) Laparoscopic treatment of perforated peptic ulcer. Br J Surg 77: 1006

    Google Scholar 

  9. Nathanson LK, Easter DW, Cuschieri A (1990) Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer. Surg Endosc 4:232–233

    Google Scholar 

  10. Schumpelick V, Schippers E, Schildberg FW, Lange V, Peiper HJ, Rosso R, Rothenbühler JM, Harder F, Esser G (1992) Hat die laparoskopische Appendektomie noch einen Stellenwert bei der akuten Appendizitis? Langenbecks Arch Chir 377: 317–321

    Google Scholar 

  11. Schwizer W, Vouillamoz, Schnegg JF, Duroux Ph, Cuttat JF, Nicolet M, Armstrong D, Michetti P, Dorta G, Thorens J, Froehlich F, Fried M, Bretholz A, Fasel J, Frei A, Guyot J, Margalith D, Gonvers JJ, Blum AL (1992) Peptische Läsionen. Therapiewoche (Schweiz) 3: 199–219

    Google Scholar 

  12. Seidel W, Troidl H, Lorenz W, Rohde H, Richter H, Drews H (1973) Eine prospektive, kontrollierte Studie zur selektiven Vagotomie beim chronischen Duodenalulkus. Klin Wochenschr 51: 477–486

    Google Scholar 

  13. Siewert JR, Castrup HJ (1982) Notfalleingriffe beim Ulcus duodeni. Chirurg 53: 16–22

    Google Scholar 

  14. Troidl H, Kusche J, Maul U (1985) Früh- und Spätkomplikationen nach opertiver Behandlung der Perforation beim Ulcus pepticum. In: Ungeheuer E (ed) Komplikationen der Ulkuskrankheit. Urban & Schwarzenberg, München, pp 65–75

    Google Scholar 

  15. Troidl H, Spangenberger W, Dietrich A, Neugebauer E (1991) Laparoskopische Cholecystektomie. Chirurg 62: 257–265

    Google Scholar 

  16. Wissing J, van Vroonhoven ThJMV, Eeftinck Schattenkert Km Veen HF, Ponsen RJG, Jeekel J (1987) Fascia closure after midline laparotomy: results of a randomized trial. Br J Surg 74: 738–741

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miserez, M., Eypasch, E., Spangenberger, W. et al. Laparoscopic and conventional closure of perforated peptic ulcer. Surg Endosc 10, 831–836 (1996). https://doi.org/10.1007/BF00189544

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00189544

Key words

Navigation