Laparoscopic repair modality of perforated peptic ulcer: less is more?
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F22%3AE0109912" target="_blank" >RIV/00843989:_____/22:E0109912 - isvavai.cz</a>
Alternative codes found
RIV/70883521:28150/22:63560978 RIV/61988987:17110/22:A2302JD0
Result on the web
<a href="https://www.cureus.com/articles/122415-laparoscopic-repair-modality-of-perforated-peptic-ulcer-less-is-more" target="_blank" >https://www.cureus.com/articles/122415-laparoscopic-repair-modality-of-perforated-peptic-ulcer-less-is-more</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.7759/cureus.30926" target="_blank" >10.7759/cureus.30926</a>
Alternative languages
Result language
angličtina
Original language name
Laparoscopic repair modality of perforated peptic ulcer: less is more?
Original language description
Perforation, per se, presents the most serious complication of peptic ulcer disease with a mortality rate that cannot be underestimated. Surgery is the only treatment option, which can be performed laparoscopically or via conventional laparotomy. The present study aimed to compare the short-term outcomes of laparoscopy and laparotomy techniques in the surgical treatment of peptic ulcer perforation. A retrospective study design was structured to compare the perioperative and short-term postoperative outcomes of 102 patients who had undergone laparoscopic and conventional repair of the perforated peptic ulcer over a six-year interval (January 1, 2016, to December 31, 2021). Of these, 44 (43.1%) had undergone laparoscopic repair while 58 (56.9%) had surgical repair via conventional laparotomy. The operative time and length of hospital stay were comparable in both subgroups (p=0.984 and p =0.585). Nevertheless, 30-day postoperative morbidity was significantly higher in the open surgery subgroup (75.9% vs. 59.1%, p= 0.032). The risk of relaparotomy was similar in both study subgroups; however, suture dehiscence as a reason for surgical revision was significantly more frequent in the laparoscopic subgroup (13.6% vs 3.4%). Of note, the mortality rate in the laparoscopic group of patients was 13.6%, and in the laparotomy group 41.4%. The laparoscopic approach to peptic ulcer perforation is the procedure of choice for low-risk patients. Conventional surgery seems to be associated with a significantly higher incidence of severe postoperative complications and mortality. However, the higher mortality in these patients is probably related to their worse initial clinical condition.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Cureus journal of medical science
ISSN
2168-8184
e-ISSN
2168-8184
Volume of the periodical
14
Issue of the periodical within the volume
10
Country of publishing house
US - UNITED STATES
Number of pages
6
Pages from-to
1-6
UT code for WoS article
000925131900038
EID of the result in the Scopus database
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