Laparoscopic versus Open Surgery for the Management of Duodenal Ulcer Perforation- A Comparative Study

Author : G. Rahul Kumar Reddy, G. Someswara Rao, K. Uma Maheshwara

In the current era approximately, 10 to 20% of patients with peptic ulcer suffer from perforation of stomach or duodenum initially develops from gastric and duodenal secretion but in a few hours bacterial contamination superimpose the disease. This study aims at evaluating efficacy, safety and outcome of laparoscopic surgery for patients with perforated duodenal ulcer. Patients admitted with perforated duodenal ulcer perforation, were evaluated. A total 51 cases were diagnosed as peritonitis secondary to duodenal perforation were involved in study. 30 underwent laparoscopic closure and 21 underwent open surgeries. The results of study revealed lesser antibiotic open: lap (5:4.03 days; p = 0.001), analgesic requirement (7:4.87 days; p = 0.001) and lesser hospital stay (8:6.17 days; p = 0.001) and reduced postoperative complications open-three (8%): lap-one (2%) patients. The duration of surgery was more with laparoscopic surgery (open-55: lap-60.15 minutes; p = 0.003) since we are at initial stages at laparoscopic management for DU perforation, also depend on skill of surgeon but it had no effect on the overall outcome. Three (8.6%) patients in lap group were needed conversion to open surgery.

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