Utility of Laparoscopically Assisted Surgery of Perforated Gastro-Duodenal Ulcers: A Comparison between the Laparoscopically Assisted Surgery and a Conventional Laparotomy.

Abstract

Recently, laparoscopic surgery, which is lower invasive than conventionally laparotomy, has been introduced for the treatment of perforated gastro-duodenal ulcers. However, the laparoscopic closure is difficult for a beginner, and makes operation time extend. The degree of low invasiveness and the degree of surgical difficultness in a laparoscopically assisted closure were not clear, we compared them between twelve patients who underwent laparoscopically assisted closure and thirteen patients who underwent conventional closure. There was no difference in a background factor among both groups. In the laparoscopically assisted group, hospital stay and postoperative resumption of oral ingestion were significantly short (p<0.01), and WBC and CRP was a significantly low at 7^th day after the operation. There were no significant differences in amount of bleeding, operation time, postoperative complications and relapse rate. These findings suggest that the laparoscopically assisted surgery is less invasive without surgical difficultness than conventional closure.