The applicability of laparoscopic gastrectomy in the surgical treatment of giant duodenal ulcer perforation.

Abstract

PURPOSE:

The present study aims to provide an applicability of laparoscopic gastrectomy used in the treatment of giant duodenal ulcer perforation.

METHODS:

Between July 2010 and April 2011, laparoscopic distal gastrectomy with ROUX-EN-Y gastrojejunostomy and truncal vagotomy was performed in consecutive 5 patients with giant duodenal ulcer perforation.

RESULTS:

There was no conversion to open surgery. There was no severe postoperative complication. The days of normalization of leukocytosis were 3, 1, 2, 2, and 5, respectively. The times to first flatus were postoperative days 2, 3, 5, 2, and 3. The days of commencement of a soft diet were postoperative days 5, 5, 6, 5, and 5. They were discharged on postoperative days 9, 11, 20, 10, and 11.

CONCLUSIONS:

We suggest that laparoscopic surgery may be a good surgical method to improve surgical outcomes and is worth a try in experts.

• Authors: Min Gyu Kim, Hwon Kyum Park, Jae Jung Park, Hong Gi Lee, Young Soo Nam
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 22 Issue 2 Pg. 122-6 (Apr 2012) ISSN: 1534-4908 [Electronic] United States
• PMID: 22487624 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Duodenal Ulcer (surgery)
• Female
• Gastrectomy (methods)
• Gastric Bypass (methods)
• Humans
• Laparoscopy (methods)
• Male
• Middle Aged
• Peptic Ulcer Perforation (surgery)
• Recovery of Function
• Surgical Stapling (methods)
• Treatment Outcome