As a surgical treatment for a perforated duodenal ulcer, duodenal omental filling is effective. However, filling the perfora- tion site with a sufficient amount of omentum is difficult in some situations. We herein report that we successfully filled a perforated duodenal ulcer with a sufficient amount of omentum using intraoperative endoscopy. The operation was performed with three ports, the operation time was 110 min, and the estimated blood loss was small. The postoperative course was good. No stenosis of deformity of the duodenum was observed on follow-up endoscopy. Laparoscopic surgery has a shorter operation time, shorter postoperative hospital stay, and less postoperative pain than open surgery. The combined use of intraoperative endoscopy with laparoscopic surgery is effective for a large perforation, and it can be expected to reduce the rate of conversion to open surgery. This combined procedure is considered useful as a laparoscopic omental ll fi ing operation. Keywords Perforated duodenal ulcer · Omental filling · Laparoscopic surgery Introduction part have been reported [2–4]. However, the amount of omentum that can be filled in each of these procedures is Duodenal ulcer perforation accounts for approximately 50% small. of upper gastrointestinal ulcer perforations and is a common We herein report a surgical
Surgery Today – Springer Journals
Published: Jun 4, 2018
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