PERFORATED PEPTIC-ULCER - THE LAPAROSCOPI C APPROACH

Ten patients underwent laparoscopic surgery for typical perforated pep tic ulcer symptomatology. Two conversions to open surgery were due to technical problems related to delayed hospital admission. Nine patient s underwent duodenal suture reinforced with fibrin glue, and one perfo ration was only glued. The postoperative course was uneventful without abdominal septic or abdominal wall complications in the eight patient s treated by laparoscopy. Laparoscopic surgery may become the method o f choice for the treatment of perforated peptic ulcer.