Laparoscopic and open operation in patients with perforated peptic ulcer

Objectives: To compare the results of laparoscopic and open operations in patients with perforated peptic ulcer. Design: Retrospective analysis. Setting: Central hospital, Norway Subjects: 74 patients (36 men, 38 women, median age 69.5 years (18–86)) admitted with perforated peptic ulcers from Novem...

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Veröffentlicht in:The European journal of surgery 1999-03, Vol.165 (3), p.209-214
Hauptverfasser: Næsgaard, Jens Marius, Edwin, Bjørn, Reiertsen, Ola, Trondsen, Erik, Færden, Arne E., Rosseland, Arne R.
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container_end_page 214
container_issue 3
container_start_page 209
container_title The European journal of surgery
container_volume 165
creator Næsgaard, Jens Marius
Edwin, Bjørn
Reiertsen, Ola
Trondsen, Erik
Færden, Arne E.
Rosseland, Arne R.
description Objectives: To compare the results of laparoscopic and open operations in patients with perforated peptic ulcer. Design: Retrospective analysis. Setting: Central hospital, Norway Subjects: 74 patients (36 men, 38 women, median age 69.5 years (18–86)) admitted with perforated peptic ulcers from November 1991‐May 1996. Interventions: Suture of the ulcer, patching with the greater omentum and lavage, in 49 by open operation and 25 laparoscopically. Main outcome measures: Duration of postoperative hospital stay, operating time, number of doses of analgesic, postoperative body temperature, complications, and mortality. Results: There was a significant difference (p = 0.0001) in median operating time: 100 minutes (range 48–160) in the laparoscopic group and 50 minutes (range 20–160) in the open group. The median hospital stay was 8 days in both groups: range 3–23 days in the laparoscopic group and 2–28 days in the open group. There were no significant differences between the two groups with regard to median number of doses of analgesic, median body temperature, complications or mortality. Conclusion: Laparoscopic operation for perforated peptic ulcer can be considered as safe as open operation. Copyright © 1999 Taylor and Francis Ltd.
doi_str_mv 10.1080/110241599750007063
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Design: Retrospective analysis. Setting: Central hospital, Norway Subjects: 74 patients (36 men, 38 women, median age 69.5 years (18–86)) admitted with perforated peptic ulcers from November 1991‐May 1996. Interventions: Suture of the ulcer, patching with the greater omentum and lavage, in 49 by open operation and 25 laparoscopically. Main outcome measures: Duration of postoperative hospital stay, operating time, number of doses of analgesic, postoperative body temperature, complications, and mortality. Results: There was a significant difference (p = 0.0001) in median operating time: 100 minutes (range 48–160) in the laparoscopic group and 50 minutes (range 20–160) in the open group. The median hospital stay was 8 days in both groups: range 3–23 days in the laparoscopic group and 2–28 days in the open group. There were no significant differences between the two groups with regard to median number of doses of analgesic, median body temperature, complications or mortality. 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Design: Retrospective analysis. Setting: Central hospital, Norway Subjects: 74 patients (36 men, 38 women, median age 69.5 years (18–86)) admitted with perforated peptic ulcers from November 1991‐May 1996. Interventions: Suture of the ulcer, patching with the greater omentum and lavage, in 49 by open operation and 25 laparoscopically. Main outcome measures: Duration of postoperative hospital stay, operating time, number of doses of analgesic, postoperative body temperature, complications, and mortality. Results: There was a significant difference (p = 0.0001) in median operating time: 100 minutes (range 48–160) in the laparoscopic group and 50 minutes (range 20–160) in the open group. The median hospital stay was 8 days in both groups: range 3–23 days in the laparoscopic group and 2–28 days in the open group. There were no significant differences between the two groups with regard to median number of doses of analgesic, median body temperature, complications or mortality. Conclusion: Laparoscopic operation for perforated peptic ulcer can be considered as safe as open operation. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Aged, 80 and over
Analysis of Variance
Biological and medical sciences
Duodenal Ulcer - complications
Duodenal Ulcer - surgery
Female
Humans
Laparoscopy - adverse effects
Laparoscopy - statistics & numerical data
Male
Medical sciences
Middle Aged
Peptic Ulcer Perforation - surgery
Postoperative Complications - epidemiology
Statistics, Nonparametric
Stomach Ulcer - complications
Stomach Ulcer - surgery
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Treatment Outcome
title Laparoscopic and open operation in patients with perforated peptic ulcer
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