There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
Laparoscopic techniques have been proposed as an alternative to open surgery for therapy
of peptic ulcer perforation. They provide better postoperative comfort and absence
of parietal complications, but leakage occurs in 5% of cases. We describe a new method
combining laparoscopy and endoluminal endoscopy, designed to ensure complete closure
of the perforation.
Six patients with anterior ulcer perforations (4 duodenal, 2 gastric) underwent a
concomitant laparoscopy and endoluminal endoscopy with closure of the orifice by an
omental plug attracted into the digestive tract.
All perforations were sealed. The mean operating time was 72 minutes. The mean hospital
stay was 5.5 days. There was no morbidity and no mortality. At the 30-day evaluation
all ulcers but one (due to Helicobacter pylori persistence) were healed.
This method is safe and effective. Its advantages compared with open surgery or laparoscopic
patching as well as its cost-effectiveness should be studied in prospective randomized
trials.