Perforated Peptic Ulcer Surgery: Decreased Length of Stay but No Difference in Mortality with Laparoscopic Repair
| Autor: | Jeffry Nahmias, Sebastian D. Schubl, Nicole P. Bernal, Eugene Won, Michael Lekawa, Areg Grigorian, Marija Pejcinovska, Viktor Gabriel |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Peptic ulcer surgery Treatment outcome MEDLINE 030230 surgery 03 medical and health sciences Postoperative Complications 0302 clinical medicine Primary outcome Humans Medicine Stomach Ulcer Retrospective Studies Surgical repair business.industry Significant difference Retrospective cohort study Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome Duodenal Ulcer 030220 oncology & carcinogenesis Peptic ulcer Peptic Ulcer Perforation Female Laparoscopy business Ventilator Weaning |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 28:410-415 |
| ISSN: | 1530-4515 |
| Popis: | Background Perforated peptic ulcer (PPU) surgery mortality ranges 1% to 24%. We hypothesized a decrease in length of stay (LOS) with laparoscopic surgical repair (LSR) compared with open surgical repair (OSR). Methods Patients undergoing PPU surgery 2005 to 2015 were identified in NSQIP. LSR was compared with OSR 2005 to 2015. LSR 2005 to 2010 was compared with 2011 to 2015. OSR 2005 to 2010 was compared with 2011 to 2015. The primary outcome was LOS. Secondary outcomes were mortality and morbidity. Results Between 2005 and 2015, LSR had a decreased LOS, was more likely to wean from the ventilator, but had no significant difference in mortality compared with OSR. There was no significant difference in mortality for LSR or OSR over time. Conclusions When patients are appropriately selected, LSR for PPU is a viable alternative to OSR, decreasing LOS and pulmonary complications. This demonstrates significant benefit to patients and hospital throughput. |
| Databáze: | OpenAIRE |
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