Laparoscopic repair for perforated duodenal ulcer: graham patch technique

Abstract

Aim: This article described the technique to avoid suture entanglement during laparoscopic Graham patch repair (LGPR) and the feasibility of the technique.Methods: Twenty‐four patients with perforated duodenal ulcer from January 2000 to February 2004 were subjected to LGPR. The same principle of open Graham patch repair was exercised.Result: LGPR was performed successfully in 23 males and one female, median age of 44.5. No conversion to open surgery. Median perforation size was 5 mm, range 3–10 mm. Median operative time was 80 min Median for ambulation was postoperative day 2, and postoperative stay was 4 days. Median analgesic requirement was: one dose of pethidine (50 mg imi injection) and zero tablet of dologesic. Complications included one pelvic collection treated by antibiotics, one urinary retention and one pyloric stenosis. No leakage and no wound infection.Conclusion: LGPR was a feasible alternative for laparoscopic repair of perforated duodenal ulcer, and might be particularly suitable for larger perforation.