{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:06Z","timestamp":1751485206106,"version":"3.41.0"},"reference-count":25,"publisher":"International College of Surgeons","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>The usefulness of the minilaparotomy approach for perforated duodenal ulcer repair was retrospectively evaluated in 37 patients (26 men; mean age, 56.5\u00a0years). Simple closure with an omental patch by minilaparotomy (skin incision, \u22647\u00a0cm) was successful in 86.5% of the cases, with an operative mortality of 2.7%. Compared with the results in historic control patients who underwent conventional open surgery (n \u200a=\u200a 27), a shorter operative time (<jats:italic>P<\/jats:italic> &lt; 0.01), lower frequency of analgesic use (<jats:italic>P<\/jats:italic> \u200a=\u200a 0.03), earlier passage of flatus (<jats:italic>P<\/jats:italic> &lt; 0.01), and shorter hospital stay (<jats:italic>P<\/jats:italic> \u200a=\u200a 0.04) were obtained in the patients undergoing minilapartomoy. The postoperative morbidity was identical between the two groups (16.2% versus 33.3%, <jats:italic>P<\/jats:italic> \u200a=\u200a 0.40). On multivariate analysis, a large amount of intra-abdominal fluid was the only significant risk factor for extension of the minilaparotomy wound (<jats:italic>P<\/jats:italic> \u200a=\u200a 0.012). The minilaparotomy approach appears to be a feasible, safe, and less invasive approach compared with the conventional open approach and could be a useful alternative to the laparoscopic approach in selected patients with perforated duodenal ulcer.<\/jats:p>","DOI":"10.9738\/1403.1","type":"journal-article","created":{"date-parts":[[2012,12,13]],"date-time":"2012-12-13T18:35:30Z","timestamp":1355423730000},"page":"194-200","source":"Crossref","is-referenced-by-count":2,"title":["Minilaparotomy for Perforated Duodenal Ulcer"],"prefix":"10.9738","volume":"96","author":[{"given":"Hideyuki","family":"Ishida","sequence":"first","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Ishiguro","sequence":"additional","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kensuke","family":"Kumamoto","sequence":"additional","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Ohsawa","sequence":"additional","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Sobajima","sequence":"additional","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichiro","family":"Ishibashi","sequence":"additional","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiro","family":"Haga","sequence":"additional","affiliation":[{"name":"Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"5","key":"i0020-8868-96-3-194-Lassen1","series-title":"Am J Gastroenterol","first-page":"945","article-title":"Complicated and uncomplicated peptic ulcers in a Danish county 1993\u20132002: a population-based cohort study.","volume":"101","author":"Lassen, A","year":"2006","unstructured":"Lassen, A, HallasJ, and Schaffalitzky de MuckadellOB. Complicated and uncomplicated peptic ulcers in a Danish county 1993\u20132002: a population-based cohort study.Am J Gastroenterol2006. 101 (5):945\u2013953."},{"issue":"1","key":"i0020-8868-96-3-194-Wang1","series-title":"Ann Surg","first-page":"51","article-title":"Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006.","volume":"251","author":"Wang, YR","year":"2010","unstructured":"Wang, YR, RichterJE, and DempseyDT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006.Ann Surg2010. 251 (1):51\u201358."},{"issue":"3","key":"i0020-8868-96-3-194-Svanes1","series-title":"World J Surg","first-page":"277","article-title":"Trends in perforated peptic ulcer: incidence, etiology, treatment, and prognosis.","volume":"24","author":"Svanes, C","year":"2000","unstructured":"Svanes, C\n          . 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Impact of prior abdominal surgery on the curative resection of colon cancer via a minilaparotomy approach.Surg Today2011. 41 (3):369\u2013376."},{"issue":"5","key":"i0020-8868-96-3-194-Furukawa1","series-title":"Abdom Imaging","first-page":"524","article-title":"Gastrointestinal tract perforation: CT diagnosis of presence, site, and use.","volume":"30","author":"Furukawa, A","year":"2005","unstructured":"Furukawa, A, SakodaM, YamasakiM, KonoN, TanakaT, NittaN, et al. Gastrointestinal tract perforation: CT diagnosis of presence, site, and use.Abdom Imaging2005. 30 (5):524\u2013534."},{"key":"i0020-8868-96-3-194-Schein1","series-title":"Shein's Common Sense Emergency Abdominal Surgery","first-page":"143","article-title":"Perforated peptic ulcer.","author":"Schein, M","year":"2005","unstructured":"Schein, M\n          . Perforated peptic ulcer.In:.Shein's Common Sense Emergency Abdominal Surgery. Schein M, Rogers PN, editors. Berlin HeidelbergSpringer. 2005. 143\u2013150."},{"issue":"3","key":"i0020-8868-96-3-194-Boey1","series-title":"Ann Surg","first-page":"265","article-title":"A prospective study of operative risk factors in perforated duodenal ulcers.","volume":"195","author":"Boey, J","year":"1982","unstructured":"Boey, J, WongJ, and OngGB. A prospective study of operative risk factors in perforated duodenal ulcers.Ann Surg1982. 195 (3):265\u2013269."},{"issue":"6","key":"i0020-8868-96-3-194-Bertleff1","series-title":"Surg Endosc","first-page":"1231","article-title":"Laparoscopic correction of perforated peptic ulcer: first choice? A reviw of literature.","volume":"24","author":"Bertleff, MJ","year":"2010","unstructured":"Bertleff, MJ and LangeJF. Laparoscopic correction of perforated peptic ulcer: first choice? A reviw of literature.Surg Endosc2010. 24 (6):1231\u20131239."},{"issue":"6","key":"i0020-8868-96-3-194-Nakagoe1","series-title":"Br J Surg","first-page":"831","article-title":"Use of minilaparotomy in the treatment of colonic cancer.","volume":"88","author":"Nakagoe, T","year":"2001","unstructured":"Nakagoe, T, SawaiT, TsujiiT, and AyabeH. Use of minilaparotomy in the treatment of colonic cancer.Br J Surg2001. 88 (6):831\u2013835."},{"issue":"6","key":"i0020-8868-96-3-194-Takegami1","series-title":"Surg Today","first-page":"414","article-title":"Minilaparotomy approach to colon cancer.","volume":"33","author":"Takegami, K","year":"2003","unstructured":"Takegami, K, KawaguchiY, NakayamaH, KubotaS, and NagawaH. 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