[Laparoscopic-assisted method of surgical treatment of perforated gastric and duodenal ulcer].

Conversion (laparoscopic-assisted) method of surgical treatment of perforated gastric and duodenal ulcer was used at 103 patients. This method combines minilaparotomy with videolaparoscopy. Mean duration of surgery was 53 min, mean hospital stay - 6 bed-days. Postoperative complications were seen at one patient. There was no lethal outcome whereas lethality after open surgeries was 3.8%. It is concluded that mini-invasive methods of perforated ulcers suturing can not be oppose to traditional laparotomy; each method has own indications and contraindications. But mini-invasive surgical procedures may be regarded as real alternative to traditional open surgeries because of minimal approach, minimal surgical trauma and high economic effect in treatment and rehabilitation of these patients.