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Collegium antropologicum, Vol. 34 supplement 1 No. 1, 2010.

Original scientific paper

Laparoscopic Repair of Perforated Peptic Duodenal Ulcer

Željko Bušić ; University Hospital Center Osijek, Osijek, Croatia
Dražen Servis ; University Hospital Dubrava, Zagreb, Croatia
Ferdinand Slisurić ; University Hospital Dubrava, Zagreb, Croatia
Jozo Kristek ; University Hospital Center Osijek, Osijek, Croatia
Marijan Kolovrat ; University Hospital Dubrava, Zagreb, Croatia
Vlatka Čavka ; University Hospital Dubrava, Zagreb, Croatia
Mislav Čavka ; University Hospital »Sestre milosrdnice«, Zagreb, Croatia
Kristijan Ćupurdija ; University Hospital Dubrava, Zagreb, Croatia
Leonardo Patrlj ; University Hospital Center Osijek, Osijek, Croatia
Ante Kvesić ; Department of Surgery, School of Medicine, Mostar, Bosnia and Herzegovina

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Abstract

Although prevalence of peptic ulcer is decreasing, the number of peptic ulcer perforations appears to be unchanged. This complication of peptic ulcer is traditionally surgically treated. In recent years, a number of papers have been published where the authors managed perforated duodenal peptic ulcer in selected patients using laparoscopic approach. Laparoscopic treatment of perforated duodenal ulcer has been described as safe and advantageous compared to open technique but advantages are still not clear due to small number of cases in published studies. Based on these recommendations we decided to establish our own protocol for laparoscopic treatment of perforated peptic duodenal ulcer. In this prospective study we evaluated the first 10 patients in whom we performed laparoscopic repair of perforated duodenal ulcer. There were no conversions to open procedure and no early postoperative complications. The patients were contacted by phone a year after the operation, and all were satisfied with the operation and the appearance of postoperative scars. We regard laparoscopic repair of selected patients with perforated duodenal ulcer as a safe and preferable treatment.

Keywords

peptic ulcer; laparoscopic approach; minimally invasive surgery

Hrčak ID:

51778

URI

https://hrcak.srce.hr/51778

Publication date:

25.3.2010.

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