| 篇名 |
The Assessment of Laparoscope-based Repair for Perforated Peptic Ulcer |
| 作者 |
Yuan-Yuarn Liu, I-Shu Chen, Hong-Tai Chang, Shiuh-Inn Liu, Nan-Hua Jou,Cheng-Chung Tsai, Being-Whey Wang, King-Tong Mok |
| 卷期/出版年月 |
37卷2期 (2004/4) |
| 頁次 |
45-51 |
| 摘要 |
Background: Since new effective medications for peptic ulcer were developed,
simple closure of perforated peptic ulcer has been advocated by many surgeons.
The aim of this study is to evaluate the safety and efficacy of laparoscope-based simple closure of perforated peptic ulcer.
Methods: A total of 31 patients with perforated peptic ulcer were treated by
laparoscope-based simple closure of perforation in Kaohsiung Veterans General
Hospital between March 1999 and September 2001. The medical records were
analyzed retrospectively.
Results: Six patients (19%) received operation for more than 24 hours after perforation.
Two patients (6.4%) were further treated with laparotomy. The complication
rate was about 6.4% (2/31) and no mortality was noted. The perforation sites
were located at duodenum in 17 patients and at stomach in 14 patients. Mean
operation time was about 121.5 47.6 minutes. Mean time to resume oral intake
was 6.4±0.7 days. Mean post-operative hospital stay was 8.8±1.4 days.
Conclusions: Laparoscope-based repair of perforated peptic ulcer is found to be
very effective and safe in selective patients without major morbidity. In addition, no severe preoperative shock was noted. However, its limitation and efficacy need to be further investigated in randomized prospective studies. |
| 關鍵詞 |
Laparoscope-based repair, peptic ulcer, preoperative, shock |
| 分類 |
Original Articles |
