Laparoscopic repair for juveniles with duodenal ulcer perforation

Abstract

Objective To evaluate the application of laparoscopie surgery for juveniles with duo-denal ulcer perforation. Methods From July 2003 to July 2008, clinical data from 21 juveniles with du-odenal ulcer perforation in this hospital were analyzed retrospectively. Twenty-one patients with the clinical diagnosis of duodenal ulcer perforation were allocated into two groups to undergo either open or laparoscopic surgery. The mean operating time, mean length of stay and the incidence of postoperative complications in both groups were eompered. Results Both of the procedures were performed success-fully for all patients. None in the laparoscopie group required conversion to an open procedure. No sig-nificant difference was noted in the mean operating time between the laparoscopic and open surgery group (75. 5 ± 18. 0 min vs 68. 5 ± 14. 7 min, P= 0. 37) or in the mean length of stay (5. 8±1.8 d vs 6. 3 ± 1.5 d). No severe complication was noted in either group. Conclusions Laparoscopic repair is technically feasible and safe, which is an effective alternative for juveniles with duodenal ulcer perfora-tion. Key words: Laparoscopes; Duodenal ulcer