Laparoscopic versus Open Omental Patch Repair for Early Presentation of Perforated Peptic Ulcer: Matched Retrospective Cohort Study
Table 1
Patient demographics.
Characteristics
Open ()
Laparoscopic ()
Median age (range)
50 (17–92)
47 (20–86)
0.57
Men (%)
97 (89.8%)
35 (87.5%)
0.92
Smoker, n (%)
53 (49.1%)
13 (32.5%)
0.07
Alcohol user, n (%)
14 (13.0%)
7 (17.5%)
0.48
Admission within 24 hrs after symptoms onset, n (%)
90 (83.3%)
38 (95.0%)
0.07
Preoperative lab value
WBC (k/μL), n (%)
0.87
<4 OR >12
61 (56.5%)
22 (55.0%)
4–12
47 (43.5%)
18 (45.0%)
Creatinine (μmol/L), n (%)
0.30
<130
98 (90.7%)
39 (97.5%)
⩾130
10 (9.3%)
1 (2.5%)
Hematocrit (%), n (%)
0.79
<42
38 (35.2%)
15 (37.5%)
⩾42
70 (64.8%)
25 (62.5%)
INR, n (%)
0.63
⩾1.3
7 (6.5%)
1 (2.5%)
<1.3
94 (87.0%)
36 (90.0%)
Not done
7 (6.5%)
3 (7.5%)
ASA class, n (%)
0.33
1
23 (21.3%)
13 (32.5%)
2
52 (48.1%)
18 (45%)
3
33 (30.5%)
9 (22.5%)
Mannheim peritonitis index (range)
8 (2–34)
16 (2–26)
<0.01
Mannheim peritonitis index, n (%)
0.04
⩽20
94 (87.0%)
28 (70.0%)
21–29
10 (9.2%)
12 (30.0%)
>29
4 (3.7%)
0 (0%)
Shock, n (%)
17 (15.7%)
6 (15.0%)
0.91
SIRS, n (%)
19 (17.6%)
4 (10.0%)
0.26
Median size of perforation (mm), range
5.0 (2.0–15.0)
5.0 (0.8–15.0)
0.10
Site involved, n (%)
0.38
Duodenal
88 (81.5%)
35 (87.5%)
Gastric
20 (18.5%)
5 (12.5%)
Median operation duration (min), range
75 (35–175)
104 (65–145)
<0.01
ASA: American Society of Anaesthesiologists. NA: not applicable. WBC: white blood count. SIRS: systemic inflammatory response syndrome. #Shock defined as systolic blood pressure of less than 100 mmHg or heart rate of more than 100 beats per minute. SIRS defined as 2 or more of the following variables: (1) fever of more than 38°C (100.4°F) or less than 36°C (96.8°F); (2) heart rate of more than 90 beats per minute; (3) respiratory rate of more than 20 breaths per minute or arterial carbon dioxide tension (PaCO2) of less than 32 mmHg; (4) abnormal white blood cell count (>12,000/µL or <4,000/µL or >10% immature forms).
