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Laparoscopic and open operation in patients with perforated peptic ulcer
J M Naesgaard1, B Edwin, O Reiertsen
1Surgical Department, Central Hospital of Akershus, Nordbyhagen, Norway.
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.
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