LAPAROENDOSCOPIC APPROACH TO PERFORATED PEPTIC-ULCER - CASE-REPORT AND DISCUSSION

The laparoscope provides an alternative approach to the operative mana gement of a perforated peptic ulcer. Although the laparoscope has alre ady proven to be an effective adjunct in the treatment of chronic pept ic ulcer disease, its role in the treatment of perforated ulcers remai ns to be proven. This article reviews the technique of laparoscopic ex ploration of the abdomen with vagotomy and Graham repair in a patient who presented with a perforated pyloric channel ulcer.