Department of Surgery, Randers Hospital, Randers, Denmark.
Scand J Surg. 2010;99(3):119-21. doi: 10.1177/145749691009900303.
to report the distribution and results of laparoscopic repair of perforated ulcer surgery in surgical departments in a major region in Denmark and compare it with the results from the national database regarding mortality and morbidity.
case charts from all patients who underwent laparoscopic repair of perforated ulcer in Western Denmark in the period 1 January 2003 - 1 July 2007 were collected. Demographical data, surgical details, morbidity, 30-day mortality, and length of stay were recorded. For comparison, data from the National Health Registry (NIP) describing all patients who had an operation due to perforated ulcer in this period was obtained.
no more than 51 out of 818 patients undergoing operation for perforated ulcer in the region had a laparoscopic operation. Mortality in the laparoscopic group was 4% compared to 26% reported from the national database (NIP). The laparoscopic group had a higher reperforation rate but length of stay was equal. No formal criteria concerning surgeon or patients selection for laparoscopic surgery were met.
laparoscopic repair of perforated ulcer was done without any selection criteria in few surgical departments in Western Denmark and was associated with a low mortality but a higher risk of reperforation.
报告丹麦一主要地区外科部门腹腔镜修补穿孔性溃疡手术的分布和结果，并将其与全国数据库的死亡率和发病率结果进行比较。
收集 2003 年 1 月 1 日至 2007 年 7 月 1 日期间在丹麦西部接受腹腔镜修补穿孔性溃疡的所有患者的病历。记录人口统计学数据、手术细节、发病率、30 天死亡率和住院时间。为了进行比较，还获得了国家健康登记处（NIP）描述该时期所有因穿孔性溃疡接受手术的患者的数据。
在该地区接受穿孔性溃疡手术的 818 名患者中，仅有不超过 51 名患者接受了腹腔镜手术。腹腔镜组的死亡率为 4%，而全国数据库（NIP）报告的死亡率为 26%。腹腔镜组再穿孔率较高，但住院时间相等。腹腔镜手术没有针对外科医生或患者的选择标准。
在丹麦西部的少数外科部门，没有任何选择标准就进行了腹腔镜修补穿孔性溃疡手术，其死亡率较低，但再穿孔的风险较高。
