Laparoscopic Peptic Ulcer Perforation Closure: the Preferred Choice

Area of Science:

• Gastroenterology
• Surgical Innovation
• Emergency Medicine

Background:

• Peptic ulcer perforation is a critical surgical emergency.
• Laparoscopic techniques are increasingly favored over open surgery for perforation closure.

Purpose of the Study:

• To compare laparoscopic versus open peptic ulcer perforation closure.
• Evaluate outcomes including operative time, pain management, complications, and recovery.

Main Methods:

• Prospective, randomized, unicentric study with 50 patients.
• Patients randomly assigned to laparoscopic (n=25) or open (n=25) closure.
• Data collected on operative time, analgesia, complications, hospital stay, and return to activities.

Main Results:

• Laparoscopic group had significantly shorter operative time (60 vs 90 min).
• Reduced postoperative analgesia needs (1 vs 6 days) and hospital stay (3 vs 8 days) in the laparoscopic group.
• Fewer complications and earlier return to routine activities (5 vs 10 days) observed with laparoscopy.

Conclusions:

• Laparoscopic peptic ulcer perforation closure demonstrates superior outcomes.
• The laparoscopic approach is associated with decreased morbidity and faster patient recovery.
• Laparoscopy is a safe and preferred alternative to open surgery for peptic ulcer perforation when feasible.