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Therapeutic minilaparoscopy for perforated peptic ulcer
Wing Tai Siu1, Chun Han Chau, Bonita Ka Bo Law
1Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, China.
Summary
Minilaparoscopy offers a safe and effective approach for treating perforated peptic ulcers. This minimally invasive technique resulted in no complications, minimal pain, and excellent cosmetic outcomes for patients.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Perforated peptic ulcers are a serious surgical emergency.
- Laparoscopic repair is an established treatment, but minilaparoscopy offers further advantages.
Purpose of the Study:
- To evaluate the initial experience and feasibility of therapeutic minilaparoscopy for peptic ulcer perforation.
- To assess the clinical and cosmetic outcomes of this minimally invasive approach.
Main Methods:
- A case series of five patients undergoing minilaparoscopic repair for perforated peptic ulcers.
- Detailed reporting of surgical procedure, perioperative data, and follow-up assessments.
Main Results:
- All five patients were successfully treated with minilaparoscopy without conversion to open surgery.
- Zero perioperative morbidity or mortality was observed.
- Patients reported minimal wound pain and required limited analgesia, with nearly invisible scars at 3 months.
Conclusions:
- Therapeutic minilaparoscopy is technically feasible for perforated peptic ulcer repair.
- This approach provides satisfactory clinical recovery and superior cosmetic results.
- Minilaparoscopy represents a promising advancement in the surgical management of peptic ulcer perforations.