Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy

Being Chuan Lin*, Chien Hung Liao, Shang Yu Wang, Tsann Long Hwang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

14 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)341-345
Number of pages5
JournalJournal of Surgical Research
Volume220
DOIs
StatePublished - 12 2017

Bibliographical note

Publisher Copyright:
© 2017 The Author(s)

Keywords

  • Laparoscopic repair
  • Modified Cellan-Jones omentopexy
  • Perforated peptic ulcer
  • Simple closure

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