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Laparoscopic and conventional closure of perforated peptic ulcer. A comparison
M Miserez1, E Eypasch, W Spangenberger
1Department of Surgery II, University of Cologne, Krankenhaus Merheim, Ostmerheimer Strasse 200, D-51109 Köln, Germany.
Background:
After the first successful laparoscopic closure of a perforated peptic ulcer in 1990, 18 patients with laparoscopic closure were compared to 16 patients with conventional surgery.
Methods:
The endpoint adverse events (complications), pain intensity, operation time, fever, leucocytosis, and duration of hospital stay showed no clinically relevant differences.
Results:
Consumption of analgesics was lower in the laparoscopic group.
Conclusions:
Laparoscopic closure of perforated peptic ulcer is technically feasible. The safety of the method and the benefit for the patient need proof by means of a randomized controlled trial.