Laparoscopy: A Better Approach for Perforated Duodenal Ulcer

Area of Science:

• Minimally invasive surgery
• Gastrointestinal surgery
• Surgical outcomes

Background:

• Laparoscopic surgery is increasingly standard for abdominal procedures.
• Laparoscopic repair of perforated duodenal ulcer (PDU) remains debated.
• This study compares laparoscopic versus open PDU repair.

Purpose of the Study:

• To evaluate the safety and efficacy of laparoscopic PDU repair.
• To compare outcomes between laparoscopic and open Graham patch repair.
• To assess operative time, recovery, and complications.

Main Methods:

• Cross-sectional study of 101 patients with PDU.
• 36 patients underwent laparoscopic repair, 65 underwent open repair.
• Data collected on operative time, analgesia, mobilization, and hospital stay.

Main Results:

• Laparoscopic repair had a longer mean operative time (74.01 vs 56.17 minutes).
• Laparoscopic repair showed significantly shorter recovery: analgesia (1.21 vs 3.83 days), mobilization (9.32 vs 16.20 hours), and hospital stay (3.12 vs 4.85 days).
• Postoperative complications were lower in the laparoscopic group (8% vs 54%).

Conclusions:

• Laparoscopic repair of PDU is safe and effective.
• It offers advantages in reduced hospital stay, faster mobilization, and fewer complications.
• Expertise is crucial for optimal outcomes in laparoscopic PDU repair.