Laparoscopic and conventional closure of perforated peptic ulcer - A comparison

被引:52
作者
Miserez, M [1 ]
Eypasch, E [1 ]
Spangenberger, W [1 ]
Lefering, R [1 ]
Troidl, H [1 ]
机构
[1] UNIV COLOGNE,KRANKENHAUS MERHEIM,DEPT SURG 2,D-51109 COLOGNE,GERMANY
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1996年 / 10卷 / 08期
关键词
ulcer; perforated peptic; closure; laparoscopic vs conventional;
D O I
10.1007/BF00189544
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:831 / 836
页数:6
相关论文
共 16 条
[1]   CELIOSCOPIC TREATMENT OF PERFORATED GASTRODUODENAL ULCER USING THE LIGAMENTUM TERES HEPATIS [J].
COSTALAT, G ;
DRAVET, F ;
NOEL, P ;
ALQUIER, Y ;
VERNHET, J .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1991, 5 (03) :154-155
[2]   A RANDOMIZED TRIAL OF NONOPERATIVE TREATMENT FOR PERFORATED PEPTIC-ULCER [J].
CROFTS, TJ ;
PARK, KGM ;
STEELE, RJC ;
CHUNG, SSC ;
LI, AKC .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (15) :970-973
[3]  
CUETO J, 1993, SURG LAPAROSC ENDOSC, V3, P216
[4]  
DARZI A, 1993, SURG LAPAROSC ENDOSC, V3, P161
[5]  
EYPASCH E, 1994, UPDATE GASTRIC SURG, P70
[6]  
HEBEBRAND D, 1994, CHIRURG, V65, P112
[7]  
LINDER MM, 1987, CHIRURG, V58, P84
[8]   LAPAROSCOPIC TREATMENT OF PERFORATED PEPTIC-ULCER [J].
MOURET, P ;
FRANCOIS, Y ;
VIGNAL, J ;
BARTH, X ;
LOMBARDPLATET, R .
BRITISH JOURNAL OF SURGERY, 1990, 77 (09) :1006-1006
[9]   LAPAROSCOPIC REPAIR PERITONEAL TOILET OF PERFORATED DUODENAL-ULCER [J].
NATHANSON, LK ;
EASTER, DW ;
CUSCHIERI, A .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1990, 4 (04) :232-233
[10]  
SCHUMPELICK V, 1992, LANGENBECK ARCH CHIR, V377, P317