No Abdominal Drainage After Single-Port Laparoscopic Repair for Perforated Duodenal Ulcers

Abstract

Nowadays, closure of the perforation with or without omental patch is the main surgical approach for most perforated duodenal ulcer. There have been limited high-quality studies to clarify the role of drainage after perforated duodenal ulcer laparoscopic repair. We performed this study to evaluate the role of abdominal drainage after simple closure for the treatment of low-risk perforated duodenal ulcer. A consecutive case series was conducted including patients with size of duodenal perforation no more than 5 mm who underwent single-port laparoscopic simple repair at Hue University of Medicine and Pharmacy Hospital from January 2012 to June 2018. In this study, sixty-five executive perforated duodenal ulcer patients with the size of the perforation no more than 5 mm, an ASA score equal or less than 3, and a Boey score of 0 or 1 were treated by single-port laparoscopic simple repair. All patients (100%) had a perforation of the anterior side of duodenum. The mean size of the perforations was 3.4 mm. We did not use abdominal drainage after single-port laparoscopic simple closure without omentoplasty. There were no documented leakage of the repair site and no residual abscess postoperatively. The mean analgesic use duration was 2.8 ± 0.8 days. The mean hospital stay duration was 5.6 ± 0.8 days. At 30-day follow-up, one patient (1.5%) had wound infection. No port-site hernia was found and there was no mortality. For small-size and low-risk perforated duodenal ulcer, no-drainage after single-port laparoscopic simple repair is safe and effective. The patients without abdominal drainage require less analgesic use and have short hospital stay.