Laparoscopic Repair of Perforated Ulcer in Western Denmark — A Retrospective Study

Objective: To report the distribution and results of laparoscopic repair of perforated ulcer surgery in surgical departments in a major region in Denmark and compare it with the results from the national database regarding mortality and morbidity. Method: Case charts from all patients who underwent laparoscopic repair of perforated ulcer in Western Denmark in the period 1 January 2003–1 July 2007 were collected. Demographical data, surgical details, morbidity, 30-day mortality, and length of stay were recorded. For comparison, data from the National Health Registry (NIP) describing all patients who had an operation due to perforated ulcer in this period was obtained. Results: No more than 51 out of 818 patients undergoing operation for perforated ulcer in the region had a laparoscopic operation. Mortality in the laparoscopic group was 4% compared to 26% reported from the national database (NIP). The laparoscopic group had a higher reperforation rate but length of stay was equal. No formal criteria concerning surgeon or patients selection for laparoscopic surgery were met. Conclusion: Laparoscopic repair of perforated ulcer was done without any selection criteria in few surgical departments in Western Denmark and was associated with a low mortality but a higher risk of reperforation.

[1]  J. F. Smulders,et al.  UvA-DARE ( Digital Academic Repository ) Randomized Clinical Trial of Laparoscopic Versus Open Repair of the Perforated Peptic Ulcer : The LAMA , 2009 .

[2]  장혁재,et al.  Routine Use of Laparoscopic Repair for Perforated Peptic Ulcer , 2009 .

[3]  R. Lunevicius,et al.  Systematic review comparing laparoscopic and open repair for perforated peptic ulcer , 2005, The British journal of surgery.

[4]  C. Morales,et al.  Laparoscopic repair for perforated peptic ulcer disease. , 2005, The Cochrane database of systematic reviews.

[5]  A. Cuschieri,et al.  Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer , 2004, Surgical Endoscopy.

[6]  H. Lau.  Laparoscopic repair of perforated peptic ulcer: a meta-analysis , 2004, Surgical Endoscopy And Other Interventional Techniques.

[7]  P. Ohtonen,et al.  Factors that predict morbidity and mortality in patients with perforated peptic ulcers. , 2002, The European journal of surgery = Acta chirurgica.

[8]  H. Leong,et al.  Laparoscopic Repair for Perforated Peptic Ulcer: A Randomized Controlled Trial , 2002, Annals of surgery.

[9]  K. Leung,et al.  Selection of patients for laparoscopic repair of perforated peptic ulcer , 2001, The British journal of surgery.

[10]  B. Suc,et al.  [Laparoscopic treatment of perforated peptic ulcer]. , 1999, Annales de chirurgie.

[11]  M. Legrand,et al.  Laparoscopic repair of perforated duodenal ulcer , 1997, Surgical Endoscopy.

[12]  M. Legrand,et al.  Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial. , 1997, Surgical endoscopy.

[13]  Ian C. Davey,et al.  A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. , 1996, Annals of surgery.

[14]  W. Lau,et al.  Laparoscopic repair of perforated peptic ulcer , 1992, The British journal of surgery.

[15]  K. Leung,et al.  Laparoscopic repair of perforated peptic ulcer , 1992, The British journal of surgery.