الفهرس 
Role of Laparoscopic versus Open Approach in Acute Peptic Ulcer Perforation in Egyptian Population; A Randomized Controlled Tria
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Abstract
Laparoscopic surgery has become a standard of care in many of the elective procedures; however, it is still gaining popularity in conditions associated with peritonitis, such as perforated peptic ulcer.
Objective:
The aim of this study is to compare between laparoscopic and open repair of perforated peptic ulcer in term of technical feasibility, surgical outcome, and complications.
Patients and methods:
This is a prospective, randomized controlled study on 80 patient with acute perforated peptic ulcer admitted to general surgery department in Kasr EL Ainy teaching hospital and El-Maadi military compound.
Results:
Patients classified into two groups, Laparoscopy group (40 patient) & open surgery group (40 patient) comparative statistics between two groups revealed non-significant difference as regard age and sex of patients (P>0.05), non-significant difference as regard all co-morbidities (P>0.05), highly significant decrease in post-operative pain, return of bowel habits and hospital stay in laparoscopy group compared to open surgery group (P<0.05 respectively), highly significant decrease in complications rate and wound infection in laparoscopy group compared to open surgery group (P<0.05 respectively).
Conclusion:
Laparoscopic repair of perforated peptic ulcer causes less postoperative pain, post-operative complications, hospital stay.