• D. O. Smetskov
  • N. M. Нoncharova
  • S. M. Teslenko
  • P. V. Svirepo
  • A. V. Sivozhelizov
  • M. O. Sikal
  • A. S. Нoncharov
Keywords: peptic ulcer disease, perforation of pyloroduodenal ulcer, laparoscopic interventions.


Summary. Purpose: to improve the results of surgical treatment of patients with perforated pyloroduodenal ulcer.

Materials and methods. The results of treatment of 101 patients operated on for perforated pyloroduodenal ulcer, which were treated in the surgical department for the period from 2015 to 2020, were analyzed.

Results and discussion. Laparoscopic interventions were performed in 56 (55.4 %) patients with perforated ulcer. Excision of perforated ulcer by traditional laparotomy without vagotomy was used in 26 (25.7 %) patients. Suturing of perforated ulcer by traditional method without vagotomy was performed in 19 (18.8 %) patients. Complications of the early postoperative period in 8 (7.9 %) patients were surgical in nature. In 27 (26.7 %) patients postoperative complications were specific associated with the performance of dilated pyloroduodenoplasty. The largest number of postoperative complications was observed in patients who underwent suturing of the ulcer using traditional laparotomy access – 17 (16.8 %), of which general surgery – 6 (5.9 %), specific – 11 (10.9 %).

Conclusions. Laparoscopic suturing of perforated ulcers is accompanied by less pronounced pain, a decrease in the number of postoperative complications, which requires greater use of endovideo-surgical technologies in this complication of peptic ulcer disease.


1. Antonyuk SM, Grintsov GA, Achrameev VB, Andrienko IB, LucenkoYuG. Questions of ground of the operations for perforated of the stomach and duodenum. University Clinic. 2016. 12 (1): 12-14.
2. Podoluzhny`j VI. Sovremenny`e predstavleniya o geneze, metodakh diagnostiki i khirurgicheskogo lecheniya perforativny`kh yazv dvenadczatiperstnoj kishki. Fundamental`naya i klinicheskaya mediczina. 2019;4(1):73- 79. doi:10.23946/2500-0764-2019-4-1-73-79 [In Rus.].
3. Grisin E, Mikalauskas S, Poskus T, HoTayTac V, Strupas K. Laparoscopic pyloroplasty for perforated peptic ulcer. Wideochirurgiai Inne Tech Maloinwazyjne. 2017; 12 (3): 311314. doi: 10.5114/wiitm.2017.68537.
4. Anbalakan K, Chua D, Pandya GJ, Shelat VG. Five year experience in management of perforated peptic ulcer and validation of common mortality risk prediction models – are existing models sufficient? A retrospective cohort study. Int J Surg. 2015; 14: 38-44. doi: 10.1016/j.ijsu.2014.12.022.
5. Yang YJ, Bang CS, Shin SP, Park TY, Suk KT, Baik GH, et al. Clinical characteristics of peptic ulcer perforation in Korea. World J Gastroenterol. 2017; 23 (14): 2566-2574. doi: 10.3748/ wjg.v23.i14.2566.
How to Cite
Smetskov, D. O., НoncharovaN. M., Teslenko, S. M., Svirepo, P. V., Sivozhelizov, A. V., Sikal, M. O., & НoncharovA. S. (2021). MODERN VIEWS ON THE TREATMENT OF PERFORATED PYLORODUODENAL ULCERS. Kharkiv Surgical School, (2), 33-36.