TY - JOUR
T1 - Laparoscopic repair of perforated peptic ulcer
T2 - simple closure versus omentopexy
AU - Lin, Being Chuan
AU - Liao, Chien Hung
AU - Wang, Shang Yu
AU - Hwang, Tsann Long
N1 - Publisher Copyright:
© 2017 The Author(s)
PY - 2017/12
Y1 - 2017/12
N2 - Background 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. Methods 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. Results 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). Conclusions Compared to the omentopexy, laparoscopic simple closure is a safe procedure and shortens the operating time.
AB - Background 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. Methods 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. Results 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). Conclusions Compared to the omentopexy, laparoscopic simple closure is a safe procedure and shortens the operating time.
KW - Laparoscopic repair
KW - Modified Cellan-Jones omentopexy
KW - Perforated peptic ulcer
KW - Simple closure
UR - http://www.scopus.com/inward/record.url?scp=85027711696&partnerID=8YFLogxK
U2 - 10.1016/j.jss.2017.07.034
DO - 10.1016/j.jss.2017.07.034
M3 - 文章
C2 - 29180201
AN - SCOPUS:85027711696
SN - 0022-4804
VL - 220
SP - 341
EP - 345
JO - Journal of Surgical Research
JF - Journal of Surgical Research
ER -