Le traitement laparoscopique des ulceres duodenaux perfores : a propos de 84 cas

الملخص FRE

Introduction : perforation of peptic duodenal ulcer is a frequent surgical emmergency.

The aim of this retrospective study is to evaluate the faisability and the results of laparoscopic management of perforated duodenal ulcers.

Patients and methods : Eighty four patients have been laparoscopic surgery for perforated duodenal ulcer.

The duration of the study was seven years (2001 to 2007).

There were 81 men and 3 women aged from 16 to 64 years (mean : 28 years).

The mean duration between the onset of perforation and the time of operation was 20 hours (range: 6 – 72 hours).

The surgical procedure was suture and irrigation of the abdominal cavity.

Results : Conversion into laparotomy was performed in 14.2% of the patients.

Mean operative time was 95 minutes.

There was no post operative death.

The morbidity rate was 15.4%.

There was two surgical complications (post operative peritonitis and duodenal fistulea) and 11 medical complications.

Mean hospital stay was 6 days.

All patients were discharged with antibiotics for Helicobacter pylori eradication.

Conclusion : Laparoscopic repair of perforated duodenal ulcer is a safe option providing low rates of morbidity, reoperation and mortality, and can be considered the treatment of choice.