Abstract
It is well kown that perforated peptic ulcer is an absolute indications of sergery. But recently, incidence of conservative treatment for it increases. We performed urgent laparoscopy and abdominal drainage for 2 cases with perforated duodenal ulcer. These 2 cases developed perforation in hungry and general condition was good. Signs of peritoneal irritation was localized and symptoms and peritoneal signs improved. The laparoscopic findings in 2 cases demonstrated that : anterior wall of the duodenal bulb was covered by the liver and peritonitis was localized and these was no food in abdominal cavity. These findings indicated a good indication of conservative therapy for perforated duodenal ulcers.