LAPAROSCOPIC REPAIR FOR PERFORATION OF DUODENAL-ULCER WITH OMENTAL PATCH - REPORT OF INITIAL 6 CASES

We report our initial experience with perforated duodenal ulcer treate d by laparoscopic repair with omental patch in six patients, and the r esults are compared with those of other procedures retrospectively. Th e average operative time was 85.0 min, and the estimated blood loss wa s 13.7 ml. The estimated blood loss of laparoscopic repair was signifi cantly less than that of gastrectomy (p < 0.01). However, although all patients with gastrectomy or open omental patch needed administration of analgesia, only half of patients require analgesia in laparoscopic repair. No postoperative complication was encountered, and the recurr ence of ulcer was not recognized in a mean follow-up of 10 months. We recognized this procedure to be safe and feasible, Although a larger n umber of patients with longer follow-up is needed, this procedure may become one of the treatments for perforated duodenal ulcer.