Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review
Perforated peptic ulcer (PPU) is developed in 2%–10 % of peptic ulcer. The essential treatment is emergent surgical repair. Usually, the surgical repair with or without an omental patch is performed by laparotomy. The laparoscopic emergency surgery (LES) for PPU is increasingly being preferred with...
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| Language: | English |
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Korean Society of Acute Care Surgery
2025-03-01
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| Series: | Journal of Acute Care Surgery |
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| Online Access: | http://jacs.or.kr/upload/pdf/jacs-2025-15-1-1.pdf |
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| author | Jung Min Bae |
| author_facet | Jung Min Bae |
| author_sort | Jung Min Bae |
| collection | DOAJ |
| description | Perforated peptic ulcer (PPU) is developed in 2%–10 % of peptic ulcer. The essential treatment is emergent surgical repair. Usually, the surgical repair with or without an omental patch is performed by laparotomy. The laparoscopic emergency surgery (LES) for PPU is increasingly being preferred with the innovation of laparoscopic devices and procedures and increase of surgeon’s expertise and experiences. Generally, a laparoscopic approach is recommended in stable patient. And, in selected patient with instability, a laparoscopic approach may be adopted. The patient selection criteria is recommended in hemodynamic stability, surgeon’s skills, cardiovascular or pulmonary comorbidity and Boey score. These LES rate differences for PPU are resulted that the variability in the healthcare infrastructure and patient-related factors between countries. The surgeon’s decision about LES for PPU is affected by various factors. Even surgeon’s fatigue, physical strength, stressful feelings and poor emotional mood may be one of factors. According to published literature, the practical LES performance is affected by various limiting factors. Although guideline about laparoscopic emergency knotless suture repair for PPU is absent, the 4 retrospective studies about LES for PPU between knotless and interrupted suture repair revealed that the laparoscopic knotless suture repair using barbed suture material is alternative, feasible, safe, simple and non-inferior method. However, the recommendation evidence about single port LES for PPU is unclear. |
| format | Article |
| id | doaj-art-cf093f201ea14d22a3b19bae07d1f06a |
| institution | Kabale University |
| issn | 2288-5862 2288-9582 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj-art-cf093f201ea14d22a3b19bae07d1f06a2025-08-20T03:53:46ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822025-03-011511410.17479/jacs.2025.15.1.1312Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative ReviewJung Min BaePerforated peptic ulcer (PPU) is developed in 2%–10 % of peptic ulcer. The essential treatment is emergent surgical repair. Usually, the surgical repair with or without an omental patch is performed by laparotomy. The laparoscopic emergency surgery (LES) for PPU is increasingly being preferred with the innovation of laparoscopic devices and procedures and increase of surgeon’s expertise and experiences. Generally, a laparoscopic approach is recommended in stable patient. And, in selected patient with instability, a laparoscopic approach may be adopted. The patient selection criteria is recommended in hemodynamic stability, surgeon’s skills, cardiovascular or pulmonary comorbidity and Boey score. These LES rate differences for PPU are resulted that the variability in the healthcare infrastructure and patient-related factors between countries. The surgeon’s decision about LES for PPU is affected by various factors. Even surgeon’s fatigue, physical strength, stressful feelings and poor emotional mood may be one of factors. According to published literature, the practical LES performance is affected by various limiting factors. Although guideline about laparoscopic emergency knotless suture repair for PPU is absent, the 4 retrospective studies about LES for PPU between knotless and interrupted suture repair revealed that the laparoscopic knotless suture repair using barbed suture material is alternative, feasible, safe, simple and non-inferior method. However, the recommendation evidence about single port LES for PPU is unclear.http://jacs.or.kr/upload/pdf/jacs-2025-15-1-1.pdfpeptic ulcer perforationlaparoscopyemergency |
| spellingShingle | Jung Min Bae Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review Journal of Acute Care Surgery peptic ulcer perforation laparoscopy emergency |
| title | Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review |
| title_full | Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review |
| title_fullStr | Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review |
| title_full_unstemmed | Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review |
| title_short | Laparoscopic Emergency Surgery for Perforated Peptic Ulcer: A Narrative Review |
| title_sort | laparoscopic emergency surgery for perforated peptic ulcer a narrative review |
| topic | peptic ulcer perforation laparoscopy emergency |
| url | http://jacs.or.kr/upload/pdf/jacs-2025-15-1-1.pdf |
| work_keys_str_mv | AT jungminbae laparoscopicemergencysurgeryforperforatedpepticulceranarrativereview |