Comparison of the effects of laparoscopy and open surgery for gastroduodenal ulcer perforation

Objective To compare the efficacy of laparoscopy and open surgery for gastroduodenal ulcer perforation.Methods 80 patients with gastroduodenal ulcer perforation were randomly divided into the laparoscopic group(n=40)and open surgery group(n=40).The perioperative states,complication incidence were recorded and compared between two groups.Results The intraoperative blood loss,postoperative time of the recovery of intestinal peristalsis and hospital stay were significantly less in laparoscopy group than in the open surgery group(all P0.05),the operative time and total expense of hospital stay of laparoscopy group were slightly higher that those of open surgery group,but without significant difference(P0.05);the cases of occur of postoperative complication was significantly less in laparoscopy group than in the open surgery group(P0.05).No relapse of perforation happened in two groups during the follow-up.Conclusion Compared with the open surgery,the laparoscopic repair for gastroduodenal ulcer perforation is more effective and safer.