The efficacy of laparoscopic surgery versus that of open surgical treatment for gastroduodenal perforation

Abstract

Objective To explore the efficacy of laparoscopic surgery and open surgical treatment for gastroduodenal perforation.Methods 72 patients with gastroduodenal perforation who had been hospitalized during the period of January 2008 to June 2011 were randomly assigned to receive endoscopic repair ( study group ) or conventional open surgical repair ( control group ).The efficacy of the two groups were compared.Results Chnical indexes were compared intraoperatively and postoperatively between the two groups.The mean intraoperative blood loss was significantly less in the study group than in the control group ( [13.4 ± 1.4] ml vs.48.5 ± 1.7 )].In addition,time to postoperative flatus and that to ambulation were markedly shorter in the study group than in the control group,the difference being statistically significant ( P ＜ 0.05 ).Rate of abnormal postoperative body temperature was significantly lower in the study group than in the control group ( 7.8％ vs.88.0％ ),the difference being statistically significant ( P ＜ 0.05 ).Conclusions Patients undergoing laparoscopic repair have smaller incision,less pain,slighter abdominal interruption,quicker recovery of gastrointestinal function,and fewer postoperative complications than those receiving conventional open surgical repair.The former procedure is worth popularizing clinically. Key words: Laparoscopy; Laparotomy; Stomach andduodenum; Perforation