755 Management of Perforated Peptic Ulcer in Laparoscopic Era

نویسندگان

چکیده

Abstract Aim We want to share our initial experience in treating Perforated Peptic ulcer by mini-invasive techniques. Method Retrospectively, data was collected looking at surgical files for patients who were admitted with perforated peptic Ulcers under an experienced consultant surgeon between 2016 and 2021 Benghazi Medical Centre Libya. Only managed laparoscopically included the same surgeon. Results In period of until 2021, 18 ulcers treated hospital.All men except three women, age ranged from 23 years 56 years. Laparoscopy attempted all , none cases converted open 14 perforations located first part duodenum (80%) 4 pre-pyloric simple closure omental patch enough close perforation, copious peritoneal lavage normal saline access abdominal compartments is very easy never can be reached surgery. Mean operative time 90min (60-120 min). hospital stay 3 7 days. no morbidity, leak mortality within 30 Conclusions shared management Centre, managing viscus Laparoscopically. safe permits successful primary suture duodenal gastric provides excellent different regions abdomen better lavage. Furthermore, it confers benefits on form reduced postoperative pain, early recovery.

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2023

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znad258.404