Laparoscopic versus open repair of gastroduodenal ulcer perforation

Objective:To compare the therapeutic effect between laparoscopic repair of gastroduodenal ulcer perforation and open procedures.Methods:The clinical data of 52 cases were retrospectively reviewed.28 cases were performed laparoscopically,and 24 cases underwent open procedure.The operative time,intraoperative blood loss,incidence of complications,postopertive recovery time of bowel movement,postoperative body temperature and hospitalization of the two groups were compared respectively.Results:The operative time was(78.75±25.178)min in laparoscopic group vs.(97.50±26.029)min in open group(P0.05).The intraoperative blood loss was(43.21±12.488)ml vs.(77.50±21.518)ml(P0.001),the postoperative hospitalization was(6.83±1.169) days vs.(10.00±1.309)days(P0.001),the postoperative recovery time of bowel function was(2.33±0.816) hours vs.(3.75±1.035)hours(P0.001),and the postoperative complications were observed in 3 cases vs.8 cases,the postoperative body temperature(38℃) were observed in 5 cases vs.11 cases.Conclusions:The laparoscopic operation for gastroduodenal ulcer perforation can be considered as safe as the open operation and has advantages such as shorter operative time,rapid recovery and minimal incion.