The applicability of laparoscopic gastrectomy in the surgical treatment of giant duodenal ulcer perforation

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4 Citations (Scopus)

Abstract

PURPOSE: The present study aims to provide an applicability of laparoscopic gastrectomy used in the treatment of giant duodenal ulcer perforation. METHODS: Between July 2010 and April 2011, laparoscopic distal gastrectomy with ROUX-EN-Y gastrojejunostomy and truncal vagotomy was performed in consecutive 5 patients with giant duodenal ulcer perforation. RESULTS: There was no conversion to open surgery. There was no severe postoperative complication. The days of normalization of leukocytosis were 3, 1, 2, 2, and 5, respectively. The times to first flatus were postoperative days 2, 3, 5, 2, and 3. The days of commencement of a soft diet were postoperative days 5, 5, 6, 5, and 5. They were discharged on postoperative days 9, 11, 20, 10, and 11. CONCLUSIONS: We suggest that laparoscopic surgery may be a good surgical method to improve surgical outcomes and is worth a try in experts.

Original languageEnglish
Pages (from-to)122-126
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number2
DOIs
StatePublished - 2012 Apr 1

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Gastrectomy
Duodenal Ulcer
Truncal Vagotomy
Conversion to Open Surgery
Flatulence
Gastric Bypass
Leukocytosis
Laparoscopy
Diet
Therapeutics

Keywords

  • ROUX-EN-Y gastrojejunostomy
  • giant duodenal ulcer perforation
  • laparoscopic distal gastrectomy

Cite this

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title = "The applicability of laparoscopic gastrectomy in the surgical treatment of giant duodenal ulcer perforation",
abstract = "PURPOSE: The present study aims to provide an applicability of laparoscopic gastrectomy used in the treatment of giant duodenal ulcer perforation. METHODS: Between July 2010 and April 2011, laparoscopic distal gastrectomy with ROUX-EN-Y gastrojejunostomy and truncal vagotomy was performed in consecutive 5 patients with giant duodenal ulcer perforation. RESULTS: There was no conversion to open surgery. There was no severe postoperative complication. The days of normalization of leukocytosis were 3, 1, 2, 2, and 5, respectively. The times to first flatus were postoperative days 2, 3, 5, 2, and 3. The days of commencement of a soft diet were postoperative days 5, 5, 6, 5, and 5. They were discharged on postoperative days 9, 11, 20, 10, and 11. CONCLUSIONS: We suggest that laparoscopic surgery may be a good surgical method to improve surgical outcomes and is worth a try in experts.",
keywords = "ROUX-EN-Y gastrojejunostomy, giant duodenal ulcer perforation, laparoscopic distal gastrectomy",
author = "Kim, {Min Gyu} and Park, {Hwon Kyum} and Park, {Jae Jung} and Lee, {Hong Gi} and Nam, {Young Soo}",
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T1 - The applicability of laparoscopic gastrectomy in the surgical treatment of giant duodenal ulcer perforation

AU - Kim, Min Gyu

AU - Park, Hwon Kyum

AU - Park, Jae Jung

AU - Lee, Hong Gi

AU - Nam, Young Soo

PY - 2012/4/1

Y1 - 2012/4/1

N2 - PURPOSE: The present study aims to provide an applicability of laparoscopic gastrectomy used in the treatment of giant duodenal ulcer perforation. METHODS: Between July 2010 and April 2011, laparoscopic distal gastrectomy with ROUX-EN-Y gastrojejunostomy and truncal vagotomy was performed in consecutive 5 patients with giant duodenal ulcer perforation. RESULTS: There was no conversion to open surgery. There was no severe postoperative complication. The days of normalization of leukocytosis were 3, 1, 2, 2, and 5, respectively. The times to first flatus were postoperative days 2, 3, 5, 2, and 3. The days of commencement of a soft diet were postoperative days 5, 5, 6, 5, and 5. They were discharged on postoperative days 9, 11, 20, 10, and 11. CONCLUSIONS: We suggest that laparoscopic surgery may be a good surgical method to improve surgical outcomes and is worth a try in experts.

AB - PURPOSE: The present study aims to provide an applicability of laparoscopic gastrectomy used in the treatment of giant duodenal ulcer perforation. METHODS: Between July 2010 and April 2011, laparoscopic distal gastrectomy with ROUX-EN-Y gastrojejunostomy and truncal vagotomy was performed in consecutive 5 patients with giant duodenal ulcer perforation. RESULTS: There was no conversion to open surgery. There was no severe postoperative complication. The days of normalization of leukocytosis were 3, 1, 2, 2, and 5, respectively. The times to first flatus were postoperative days 2, 3, 5, 2, and 3. The days of commencement of a soft diet were postoperative days 5, 5, 6, 5, and 5. They were discharged on postoperative days 9, 11, 20, 10, and 11. CONCLUSIONS: We suggest that laparoscopic surgery may be a good surgical method to improve surgical outcomes and is worth a try in experts.

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KW - giant duodenal ulcer perforation

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