Comparing the clinical efficacy between laparoscopic and open omental patch repair for perforated peptic ulcer
10.3760/cma.j.issn.1673-4904.2010.08.003
- VernacularTitle:腹腔镜与开腹消化性溃疡穿孔带蒂网膜修补术临床疗效比较
- Author:
Songling YAN
;
Daojian ZHANG
;
Chenghong JI
;
Dongming WANG
;
Jiubing GUO
- Publication Type:Journal Article
- Keywords:
Peptic ulcer perforation;
Laparotomy;
Laparoscopy;
Omental patch repair
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(8):7-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of laparoscopic versus open omental patch repair for perforated peptic ulcer. Methods One hundred and twenty-seven patients who underwent omental patch repair for perforated peptic ulcer were analyzed retrospectively. There were 74 cases in the laparoscopic repair group (LR group) and 53 cases in the open repair group (OR group) respectively. Operative time, intraoperative blood loss,postoperative pain at 1 d and 3 d.time to first flatus and resumption of diet, time to drainage removal,surgical site infections (wound infection and intra-abdominal abscess),systemic complications and length of postoperative hospital stay were compared. Results LR group experienced less intraoperative blood loss[(32.7 ±25.6) ml], lower postoperative pain at 3 d[(2.8 ±1.5) scores], earlier time to first flatus [ (25.8 ± 20.1) h] and resumption of diet [ (2.7 ±2.1) d ], shorter time to drainage removal [(2.0±1.5) d], less wound infection (0) and shorter hospital stay[(4.8 ±2.3) d] than those in OR group [(53.2±30.0) ml, (36.9±27.9) h, (3.7±2.0) scores, (3.6±2.3) d,(2.9±2.2) d,9.4%(5/53), (6.6±4.0) d](P< 0.01 or <0.05). There were no significant differences in operative time,postoperative pain at 1 d, incidence of intra-abdominal abscess and systemic complications between the two groups. There were no suture-site leakage, reoperation and death in two groups. Conclusions Laparoscopic omental patch repair for perforated peptic ulcer is safe and efficacious. It has significant advantages over open approach with respects of less postoperative pain,earlier return of bowel function,less wound infection and shorter hospital stay.
