Comparative study of laparoscopic versus open peptic perforation repair
DOI:
https://doi.org/10.18203/2349-2902.isj20232492Keywords:
Peptic perforation, Laparoscopic and open graham omental patch repairAbstract
Background: Peptic perforation is very common emergency in general surgery. Peptic perforation is the terminology used for perforation of duodenal ulcer or perforation of gastric ulcer. Peptic perforations require surgical intervention by Graham’s omental patch repair. This surgical intervention can be done by laparoscopic or open surgery.
Methods: The study was carried out in 40 patients between June 2022 to April 2023. In this study, we have included all the patients who present to emergency department with peptic perforation either gastric or duodenal. Patients who present with gastric perforation with/due to carcinoma and peptic perforation with septicemia and ARDS are not included in this study. In this study, patients were randomly allocated in two groups: group A (n=20) includes laparoscopic peptic perforation repair. And group B (n=20) includes open peptic perforation repair. Author have compared two groups in terms of intraoperative time, post-operative hospital stay and post-operative complications like surgical site wound infection, post-operative pain.
Results: This study shows that there is no significant difference in intraoperative time between two groups but significant decrease in hospital stay, surgical site wound infection and post-operative pain in group A patient than in group B patients.
Conclusions: Laparoscopic peptic perforation repair significantly reduces post-operative pain, surgical site infection and hospital stay.
References
Sanabria AE, Morales CH, Villegas MI. Laparoscopic repair for perforated peptic ulcer disease. Cochrane Dtabase Syst Rev. 2005;(4):CD004778.
Behrman SW. Management of complicated peptic ulcer disease. Arch Surg. 2005;140:201-8.
Svanes C. Trends in perforated peptic ulcer: incidence, etiology, treatment and prognosis. World J Surg. 2000;24:277-83.
Lunevicius R, Morkevicius M. Risk factors influencing the early outcome results after laparoscopic repair of perforated duodenal ulcer and their predictive value. Langenbecks Arch Surg. 2005;390:413-20.
Lau H. Laparoscopic repair of perforated peptic ulcer: a meta-analysis. Surg Endosc. 2004;18:1013-21.
Chu KM, Kwok KF, Law SY, Tuen HH, Tung PH, Branicki FJ, et al. Helicobacter pylori status and endoscopy follow-up of patients having a history of perforated duodenal ulcer. Gastrointest Endosc. 1999;50(1):58-62.
Ng EK, Lam YH, Sung JJ, Yung MY, To KF, Chan AC, et al. Eradication of Helicobacter pylori prevents recurrence of ulcer after simple closure of duodenal ulcer perforation: randomized controlled trial. Ann Surg. 2000;231(2):153-8.
Tokunaga Y, Hata K, Ryo J, Kitaoka A, Tokuka A, Ohsumi K. Density of Helicobacter pylori infection in patients with peptic ulcer perforation. J Am Coll Surg. 1998;186(6):659-63.
Critchley AC, Phillips AW, Bawa SM, Gallagher PV. Management of perforated peptic ulcer in a district general hospital. Ann R Coll Surg Engl. 2011;93(8):615-9.
Bertleff MJ, Stegmann T, Liem RS, Kors G, Robinson PH, Nicolai JP, et al. Comparison of closure of gastric perforation ulcers with biodegradable lactide-glycolide-caprolactone or omental patches. JSLS. 2009;13(4):550-4.
Bhogal RH, Athwal R, Durkin D, Deakin M, Cheruvu CN. Comparison between open and laparoscopic repair of perforated peptic ulcer disease. World J Surg. 2008;32(11):2371-4.
Arnaud JP, Tuech JJ, Bergamaschi R, Pessaux P, Regenet N. Laparoscopic suture closure of perforated duodenal peptic ulcer. Surg Laparosc Endosc Percutan Tech. 2002;12:145-7.
Khoursheed M, Fuad M, Safar H, Dashti H, Behbehani A. Laparscopic closure of perforated duodenal ulcer. Surg Endosc. 2000;14:56-8.
Ates M, Sevli S, Bakircioglu E, Colak C. Laparoscopic repair of peptic ulcer perforation without omental patch versus conventional open repair. J Laparoendosc Adv Surg Tech. 2007;A17:615-9.
Lau H. Laparoscopic repair of perforated peptic ulcer: a meta-analysis. Surg Endosc. 2004;18(7):1013-21.
Lunevicius R, Morkevicius M. Systematic review comparing laparoscopic and open repair for perforated peptic ulcer. Br J Surg. 2005;92:1195-207.
Antoniou SA, Antoniou GA, Koch OO, Pointner R, Granderath FA. Meta-analysis of laparoscopic versus open repair of perforated peptic ulcer. JSLS. 2013;17(1):15-22.
Golash V. Ten-Year Retrospective Comparative Analysis of Laparoscopic Repair versus Open Closure of Perforated. Oman Med J. 2008;23(4):241-6.
Siu WT, Leong HT, Law BK, Chau CH, Li AC, Fung KH, et al. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg. 2002;235(3):313-9.
Siu WT, Leong HT, Law BK, Chau CH, Li AC, Fung KH, et al. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg. 2002;235(3):313-9.
Ge B, Wu M, Chen Q, Chen Q, Lin R, Liu L, Huang Q. A prospective randomized controlled trial of laparoscopic repair versus open repair for perforated peptic ulcers. Surgery. 2016;159(2):451-8.
Lau WY, Leung KL, Kwong KH, Davey IC, Robertson C, Dawson JJ, et al. A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg. 1996;224(2):131-8.
Bertleff MJ, Halm JA, Bemelman WA, van der Ham AC, van der Harst E, Oei HI, et al. Randomized clinical trial of laparoscopic versus open repair of the perforated peptic ulcer: the LAMA Trial. World J Surg. 2009;33(7):1368-73.
Lau H. Laparoscopic repair of perforated peptic ulcer: a metaanalysis. Surg Endosc. 2004;18:1013-21.
Lau WY, Leung KL, Kwong KH, Davey IC, Robertson C, Dawson JJ, et al. A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg. 1996;224(2):131-8.
Kirshtein B, Bayme M, Mayer T, Lantsberg L, Avinoach E, Mizrahi S. Laparoscopic treatment of gastroduodenal perforations: comparison with conventional surgery. Surg Endosc. 2005;19(11):1487-90.
Siu WT, Leong HT, Law BK, Chau CH, Li AC, Fung KH, et al. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg. 2002;235(3):313-9.
Zhou C, Wang W, Wang J, Zhang X, Zhang Q, Li B, et al. An updated metaanalysis of laparoscopic versus open repair for perforated peptic ulcer. Sci Rep. 2015;5:13976.
Quah GS, Eslick GD, Cox MR. Laparoscopic repair for perforated peptic ulcer disease has better outcome than open repair. J Gastrointest Surg. 2019;23(3):618-25.