Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy
This report presents our experience with laparoscopic repair performed in 118 consecutive patients diagnosed with a perforated peptic ulcer (PPU). We compared the surgical outcome of simple closure with modified Cellan-Jones omentopexy and report the safety and benefit of simple closure. From Januar...
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| Veröffentlicht in: | The Journal of surgical research 2017-12, Vol.220, p.341-345 |
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| creator | Lin, Being-Chuan Liao, Chien-Hung Wang, Shang-Yu Hwang, Tsann-Long |
| description | This report presents our experience with laparoscopic repair performed in 118 consecutive patients diagnosed with a perforated peptic ulcer (PPU). We compared the surgical outcome of simple closure with modified Cellan-Jones omentopexy and report the safety and benefit of simple closure.
From January 2010 to December 2014, 118 patients with PPU underwent laparoscopic repair with simple closure (n = 27) or omentopexy (n = 91). Charts were retrospectively reviewed for demographic characteristics and outcome. The data were compared by Fisher's exact test, Mann-Whitney U test, Pearson's chi-square test, and the Kruskal-Wallis test. The results were considered statistically significant if P |
| doi_str_mv | 10.1016/j.jss.2017.07.034 |
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From January 2010 to December 2014, 118 patients with PPU underwent laparoscopic repair with simple closure (n = 27) or omentopexy (n = 91). Charts were retrospectively reviewed for demographic characteristics and outcome. The data were compared by Fisher's exact test, Mann-Whitney U test, Pearson's chi-square test, and the Kruskal-Wallis test. The results were considered statistically significant if P < 0.05.
No patients died, whereas three incurred leakage. After matching, the simple closure and omentopexy groups had similarity in sex, systolic blood pressure, pulse rate, respiratory rate, Boey score, Charlson comorbidity index, Mannheim peritonitis index, and leakage. There were statistically significant differences in age, length of hospital stay, perforated size, and operating time. Comparison of the operating time in the ≤4.0 mm and 5.0-12 mm groups revealed that the simple closure took less time than omentopexy in both groups (≤4.0 mm, 76 versus 133 minutes, P < 0.0001; 5.0-12 mm, 97 versus 139.5 minutes; P = 0.006).
Compared to the omentopexy, laparoscopic simple closure is a safe procedure and shortens the operating time.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2017.07.034</identifier><identifier>PMID: 29180201</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Digestive System Surgical Procedures ; Female ; Humans ; Laparoscopic repair ; Laparoscopy - methods ; Male ; Middle Aged ; Modified Cellan-Jones omentopexy ; Omentum - surgery ; Peptic Ulcer Perforation - surgery ; Perforated peptic ulcer ; Retrospective Studies ; Simple closure</subject><ispartof>The Journal of surgical research, 2017-12, Vol.220, p.341-345</ispartof><rights>2017 The Author(s)</rights><rights>Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-3e995ec6fa3482752c4fa5a4e48994eda8c531f7e1aa3132a2b441e2c6389e733</citedby><cites>FETCH-LOGICAL-c462t-3e995ec6fa3482752c4fa5a4e48994eda8c531f7e1aa3132a2b441e2c6389e733</cites><orcidid>0000-0002-5391-0900</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022480417305012$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29180201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Being-Chuan</creatorcontrib><creatorcontrib>Liao, Chien-Hung</creatorcontrib><creatorcontrib>Wang, Shang-Yu</creatorcontrib><creatorcontrib>Hwang, Tsann-Long</creatorcontrib><title>Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>This report presents our experience with laparoscopic repair performed in 118 consecutive patients diagnosed with a perforated peptic ulcer (PPU). We compared the surgical outcome of simple closure with modified Cellan-Jones omentopexy and report the safety and benefit of simple closure.
From January 2010 to December 2014, 118 patients with PPU underwent laparoscopic repair with simple closure (n = 27) or omentopexy (n = 91). Charts were retrospectively reviewed for demographic characteristics and outcome. The data were compared by Fisher's exact test, Mann-Whitney U test, Pearson's chi-square test, and the Kruskal-Wallis test. The results were considered statistically significant if P < 0.05.
No patients died, whereas three incurred leakage. After matching, the simple closure and omentopexy groups had similarity in sex, systolic blood pressure, pulse rate, respiratory rate, Boey score, Charlson comorbidity index, Mannheim peritonitis index, and leakage. There were statistically significant differences in age, length of hospital stay, perforated size, and operating time. Comparison of the operating time in the ≤4.0 mm and 5.0-12 mm groups revealed that the simple closure took less time than omentopexy in both groups (≤4.0 mm, 76 versus 133 minutes, P < 0.0001; 5.0-12 mm, 97 versus 139.5 minutes; P = 0.006).
Compared to the omentopexy, laparoscopic simple closure is a safe procedure and shortens the operating time.</description><subject>Adult</subject><subject>Aged</subject><subject>Digestive System Surgical Procedures</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopic repair</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Modified Cellan-Jones omentopexy</subject><subject>Omentum - surgery</subject><subject>Peptic Ulcer Perforation - surgery</subject><subject>Perforated peptic ulcer</subject><subject>Retrospective Studies</subject><subject>Simple closure</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UE1LAzEUDKLYWv0BXmSPXnbN135ET1L8goIe9BzS7Atk2W1islvsvzel6lEYeO_xZgZmELokuCCYVDdd0cVYUEzqAicwfoTmBIsyb6qaHaM5xpTmvMF8hs5i7HC6Rc1O0YwK0uCkm6O3lfIquKidtzoL4JUNmTOZh2BcUCO0afVj-k29hnCbRTv4HjLduzgFyLYQ4hQzN8BmdB6-dufoxKg-wsXPXKCPx4f35XO-en16Wd6vcs0rOuYMhChBV0Yx3tC6pJobVSoOvBGCQ6saXTJiaiBKMcKoomvOCVBdsUZAzdgCXR98fXCfE8RRDjZq6Hu1ATdFSUQlBOMlLxOVHKg6BY0BjPTBDirsJMFyX6TsZCpS7ouUOIHxpLn6sZ_WA7R_it_mEuHuQIAUcmshyKgtbDS0NoAeZevsP_bf36aEZA</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Lin, Being-Chuan</creator><creator>Liao, Chien-Hung</creator><creator>Wang, Shang-Yu</creator><creator>Hwang, Tsann-Long</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5391-0900</orcidid></search><sort><creationdate>201712</creationdate><title>Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy</title><author>Lin, Being-Chuan ; Liao, Chien-Hung ; Wang, Shang-Yu ; Hwang, Tsann-Long</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-3e995ec6fa3482752c4fa5a4e48994eda8c531f7e1aa3132a2b441e2c6389e733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Digestive System Surgical Procedures</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopic repair</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Modified Cellan-Jones omentopexy</topic><topic>Omentum - surgery</topic><topic>Peptic Ulcer Perforation - surgery</topic><topic>Perforated peptic ulcer</topic><topic>Retrospective Studies</topic><topic>Simple closure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Being-Chuan</creatorcontrib><creatorcontrib>Liao, Chien-Hung</creatorcontrib><creatorcontrib>Wang, Shang-Yu</creatorcontrib><creatorcontrib>Hwang, Tsann-Long</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Being-Chuan</au><au>Liao, Chien-Hung</au><au>Wang, Shang-Yu</au><au>Hwang, Tsann-Long</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2017-12</date><risdate>2017</risdate><volume>220</volume><spage>341</spage><epage>345</epage><pages>341-345</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>This report presents our experience with laparoscopic repair performed in 118 consecutive patients diagnosed with a perforated peptic ulcer (PPU). We compared the surgical outcome of simple closure with modified Cellan-Jones omentopexy and report the safety and benefit of simple closure.
From January 2010 to December 2014, 118 patients with PPU underwent laparoscopic repair with simple closure (n = 27) or omentopexy (n = 91). Charts were retrospectively reviewed for demographic characteristics and outcome. The data were compared by Fisher's exact test, Mann-Whitney U test, Pearson's chi-square test, and the Kruskal-Wallis test. The results were considered statistically significant if P < 0.05.
No patients died, whereas three incurred leakage. After matching, the simple closure and omentopexy groups had similarity in sex, systolic blood pressure, pulse rate, respiratory rate, Boey score, Charlson comorbidity index, Mannheim peritonitis index, and leakage. There were statistically significant differences in age, length of hospital stay, perforated size, and operating time. Comparison of the operating time in the ≤4.0 mm and 5.0-12 mm groups revealed that the simple closure took less time than omentopexy in both groups (≤4.0 mm, 76 versus 133 minutes, P < 0.0001; 5.0-12 mm, 97 versus 139.5 minutes; P = 0.006).
Compared to the omentopexy, laparoscopic simple closure is a safe procedure and shortens the operating time.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29180201</pmid><doi>10.1016/j.jss.2017.07.034</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-5391-0900</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Digestive System Surgical Procedures Female Humans Laparoscopic repair Laparoscopy - methods Male Middle Aged Modified Cellan-Jones omentopexy Omentum - surgery Peptic Ulcer Perforation - surgery Perforated peptic ulcer Retrospective Studies Simple closure |
| title | Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy |
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