Laparoscopic primary repair with omentopexy for duodenal ulcer perforation: A single institution experience of 21 cases

Chung Hyeun Ma, Min Gyu Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: Despite the great advances in laparoscopic techniques, most active general surgeons do not apply laparoscopic surgery in the treatment of duodenal ulcer perforation when facing a real-life emergency. Therefore, our study was designed to evaluate the feasibility of laparoscopic surgery in duodenal ulcer perforation, and provide a step-by-step protocol with tips and recommendations for less experienced surgeons. Materials and Methods: Between March, 2011 and May, 2012, 21 patients presenting with duodenal ulcer perforation underwent laparoscopic primary repair with omentopexy. There were no contraindications to perform laparoscopic surgery, and the choice of primary repair was decided according to the size of the perforation. The procedure for laparoscopic primary repair with omentopexy consisted of peritoneal lavage, primary suture, and omentopexy using a knot pusher. Results: During the operation, no conversion to open surgery or intra-operative events occurred. The median operation time was 45.0 minutes (20~80 minutes). Median day of commencement of a soft diet was day 6 (4~17 days). After surgery, the median hospital stay was 8.0 days (5~27 days). Postoperative complications occurred in one patient, which included a minor leakage. This complication was resolved by conservative management. Conclusions: Although our study was carried out on a small number of patients at a single institution, we conclude that laparoscopic primary repair can be an effective surgical method in the treatment of duodenal ulcer perforation. We believe that the detailed explanation of our procedure will help beginners to perform laparoscopic primary repair more easily.

Original languageEnglish
Pages (from-to)237-242
Number of pages6
JournalJournal of Gastric Cancer
Volume12
Issue number4
DOIs
StatePublished - 2012 Dec 1

Fingerprint

Duodenal Ulcer
Laparoscopy
Conversion to Open Surgery
Peritoneal Lavage
Sutures
Length of Stay
Emergencies
Diet
Therapeutics
Surgeons

Keywords

  • Duodenal ulcer
  • Laproscopy
  • Perforation
  • Primary repair

Cite this

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title = "Laparoscopic primary repair with omentopexy for duodenal ulcer perforation: A single institution experience of 21 cases",
abstract = "Purpose: Despite the great advances in laparoscopic techniques, most active general surgeons do not apply laparoscopic surgery in the treatment of duodenal ulcer perforation when facing a real-life emergency. Therefore, our study was designed to evaluate the feasibility of laparoscopic surgery in duodenal ulcer perforation, and provide a step-by-step protocol with tips and recommendations for less experienced surgeons. Materials and Methods: Between March, 2011 and May, 2012, 21 patients presenting with duodenal ulcer perforation underwent laparoscopic primary repair with omentopexy. There were no contraindications to perform laparoscopic surgery, and the choice of primary repair was decided according to the size of the perforation. The procedure for laparoscopic primary repair with omentopexy consisted of peritoneal lavage, primary suture, and omentopexy using a knot pusher. Results: During the operation, no conversion to open surgery or intra-operative events occurred. The median operation time was 45.0 minutes (20~80 minutes). Median day of commencement of a soft diet was day 6 (4~17 days). After surgery, the median hospital stay was 8.0 days (5~27 days). Postoperative complications occurred in one patient, which included a minor leakage. This complication was resolved by conservative management. Conclusions: Although our study was carried out on a small number of patients at a single institution, we conclude that laparoscopic primary repair can be an effective surgical method in the treatment of duodenal ulcer perforation. We believe that the detailed explanation of our procedure will help beginners to perform laparoscopic primary repair more easily.",
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Laparoscopic primary repair with omentopexy for duodenal ulcer perforation : A single institution experience of 21 cases. / Ma, Chung Hyeun; Kim, Min Gyu.

In: Journal of Gastric Cancer, Vol. 12, No. 4, 01.12.2012, p. 237-242.

Research output: Contribution to journalArticle

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