Laparoscopia versus laparotomia na Úlcera Péptica Perfurada: revisão de literatura dos últimos cinco anos
DOI:
https://doi.org/10.34119/bjhrv6n1-252Keywords:
Úlcera Péptica, laparoscopia, laparotomiaAbstract
A úlcera péptica é uma enfermidade que afeta milhões de pessoas. Apesar dos avanços quanto ao entendimento e tratamento da doença, o número de pacientes diagnosticados com perfuração de úlcera péptica não vem diminuindo. Concomitantemente, a taxa de mortalidade supera outras situações de emergência comuns. O padrão-referência para perfurações simples é o reparo laparoscópico, porém grandes ulcerações perfuradas, a laparotomia com piloroplastia pode se tornar a melhor escolha. O presente trabalho tem como objetivo fornecer uma síntese das evidências atuais acerca dos aspectos biológicos e clínicos envolvidos nas técnicas laparoscópicas e laparotômicas para correção de úlcera péptica perfurada. A coleta de dados ocorreu por meio de busca bibliográfica na base de dados PubMed (via National Library of Medicine), utilizando os descritores “Peptic ulcer”, “Laparoscopic”, “Laparoscopy”, “Laparotomy”. Foram selecionados 56 trabalhos publicados entre 2017 e 2022. Considerando que há diferentes técnicas cirúrgicas para correção de úlcera peptídica perfurada, a revisão traz a definição correta de tal condição, bem como com a abordagem de cada técnica, envolvendo aspectos inerentes às indicações e contraindicações, complicações trans e pós-operatórias, tempo de internação, tempo de cirurgia, custo financeiro e taxa de mortalidade. Os resultados do presente estudo podem ajudar a desenvolver estratégias eficientes e seguras para a prevenção e o tratamento dessa condição, além de contribuir para uma conduta adequada durante a terapia dos indivíduos.
References
AHMED, M. et al. Risk factors influencing postoperative outcome in patients with perforated peptic ulcer: a prospective cohort study. European Journal of Trauma and Emergency Surgery, v. 48, n. 1, p. 81-86, 2022.
AKIN, E. et al. Open versus laparoscopic technique in peptic ulcus perforation, how effective are score systems? Single-center experience and literature review. Ulus Travma Acil Cerrahi Derg, v. 28, n. 10, p. 1437-1441, 2022.
ALEKBERZADE, A. V. et al. Perforated peptic ulcer closure: laparoscopic or open?. Khirurgiia, n. 2, p. 45-50, 2017.
ALI, A. M. et al. Clinical presentation and surgical management of perforated peptic ulcer in a tertiary hospital in Mogadishu, Somalia: a 5-year retrospective study. World Journal of Emergency Surgery, v. 17, n. 1, p. 1-8, 2022.
ALJIFFRY, M. et al. A large stomach ulcer is associated with raised mortality in a cohort of patients who underwent open repair of perforated peptic ulcer: a five-year follow-up study. Cureus, v. 12, n. 8, 2020.
AYYAZ, M. et al. Outcome of Laparoscopic Repair for Perforated Peptic Ulcers in a Resource-Limited Setting. Cureus, v. 14, n. 4, 2022.
BARAZANDEH, F. et al. Epidemiology of peptic ulcer disease: endoscopic results of a systematic investigation in iran. Middle East Journal of Digestive Diseases (MEJDD), v. 4, n. 2, p. 90-96, 2012.
BERTLEFF, M. JOE et al. Randomized clinical trial of laparoscopic versus open repair of the perforated peptic ulcer: the LAMA Trial. World Journal of Surgery, v. 33, n. 7, p. 1368-1373, 2009.
BERTLEFF, M. JOE; LANGE, J. F. Perforated peptic ulcer disease: a review of history and treatment. Digestive Surgery, v. 27, n. 3, p. 161-169, 2010.
BOEY, J. et al. Risk stratification in perforated duodenal ulcers. A prospective validation of predictive factors. Annals of Surgery, v. 205, n. 1, p. 22, 1987.
BYRNE, B. E. et al. Short-term outcomes after emergency surgery for complicated peptic ulcer disease from the UK National Emergency Laparotomy Audit: a cohort study. BMJ Open, v. 8, n. 8, p. e023721, 2018.
CHALYA, P. L. et al. Clinical profile and outcome of surgical treatment of perforated peptic ulcers in Northwestern Tanzania: A tertiary hospital experience. World Journal of Emergency Surgery, v. 6, n. 1, p. 1-10, 2011.
CHUNG, K. T.; SHELAT, V. G. Perforated peptic ulcer-an update. World Journal of Gastrointestinal Surgery, v. 9, n. 1, p. 1, 2017.
COE, P. O. et al. Open versus laparoscopic repair of perforated peptic ulcer disease: a propensity-matched study of the national emergency laparotomy audit. Annals of Surgery, v. 275, n. 5, p. 928-932, 2022.
CORDEIRO, H. M. et al. Atualizações sobre o tratamento cirúrgico da Úlcera péptica: Update on the surgical treatment of peptic Ulcer. Brazilian Journal of Health Review, v. 5, n. 5, p. 19904-19920, 2022.
COSTALAT, G. et al. Coelioscopic treatment of perforated gastroduodenal ulcer using the ligamentum teres hepatis. Surgical Endoscopy, v. 5, n. 3, p. 154-155, 1991.
DARZI, A. et al. Laparoscopic omental patch repair of perforated duodenal ulcer with an automated stapler. Journal of British Surgery, v. 80, n. 12, p. 1552-1552, 1993.
DAVENPORT, D. L. et al. A comparison of short-term outcomes between laparoscopic and open emergent repair of perforated peptic ulcers. Surgical Endoscopy, v. 33, n. 3, p. 764-772, 2019.
DI SAVERIO, S. et al. Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper. World Journal of Emergency Surgery, v. 9, n. 1, p. 1-15, 2014.
FELICIANO, D. V. Do perforated duodenal ulcers need an aciddecreasing surgical procedure now that omeprazole is available?. Surgical Clinics of North America, v. 72, n. 2, p. 369-380, 1992.
FRANSVEA, P. et al. Laparoscopic repair of perforated peptic ulcer in the elderly: an interim analysis of the FRAILESEL Italian multicenter prospective cohort study. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, v. 31, n. 1, p. 2-7, 2021.
GABRIEL, V. et al. Perforated peptic ulcer surgery: decreased length of stay but no difference in mortality with laparoscopic repair. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, v. 28, n. 6, p. 410-415, 2018.
GE, B. et al. A prospective randomized controlled trial of laparoscopic repair versus open repair for perforated peptic ulcers. Surgery, v. 159, n. 2, p. 451-458, 2016.
GIORDANO, A. et al. Diagnostic and therapeutic role of laparoscopy in perforated peptic ulcer in the elderly patients. Il Giornale di Chirurgia-Journal of the Italian Surgical Association, v. 41, n. 1, p. 40-45, 2020.
GOUTA, E. L. et al. Management of perforated duodenal peptic ulcer treated by suture. La Tunisie Medicale, v. 96, n. 7, p. 424-429, 2018.
GRIŠIN, E. et al. Laparoscopic pyloroplasty for perforated peptic ulcer. Videosurgery and Other Miniinvasive Techniques, v. 12, n. 3, p. 311-314, 2017.
GUADAGNI, S. et al. Laparoscopic repair of perforated peptic ulcer: single-center results. Surgical Endoscopy, v. 28, n. 8, p. 2302-2308, 2014.
JAMAL, M. H. et al. Laparoscopy in acute care surgery: repair of perforated duodenal ulcer. Medical Principles and Practice, v. 28, n. 5, p. 442-448, 2019.
JAYARAMAN, S. S. et al. Outcomes of Laparoscopic vs Open Repair of Perforated Peptic Ulcers: An ACS-NSQIP Study. Journal of Surgical Research, v. 265, p. 13-20, 2021.
JOHNSON, C. H. N et al. An evaluation of the epidemiology, management and outcomes for perforated peptic ulcers across the North of England over 15 years: A retrospective cohort study. International Journal of Surgery, v. 64, p. 24-32, 2019.
KANG, J. Y. et al. Recent trends in hospital admissions and mortality rates for peptic ulcer in Scotland 1982–2002. Alimentary Pharmacology & Therapeutics, v. 24, n. 1, p. 65-79, 2006.
KIM, C. W. et al. Laparoscopic repair of perforated peptic ulcer: a multicenter, propensity score matching analysis. BMC Surgery, v. 22, n. 1, p. 1-8, 2022.
KIM, D.W.; SONG, S.; JEE, Y. S. Duet laparoscopic repair with knotless barbed sutures for treatment of perforated peptic ulcer: reality in general surgery with lacking of manpower. Annals of Translational Medicine, v. 9, n. 4, 2021.
KIM, T.H. et al. Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation. Surgical Endoscopy, v. 32, n. 8, p. 3667-3674, 2018.
KRYZAUSKAS, M. et al. Is acute appendicitis still misdiagnosed?. Open Medicine, v. 11, n. 1, p. 231-236, 2016.
LAFORGIA, R. et al. Laparoscopic and open surgical treatment in gastroduodenal perforations: our experience. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, v. 27, n. 2, p. 113, 2017.
LAGOO, S. et al. The sixth decision regarding perforated duodenal ulcer. JSLS: Journal of the Society of Laparoendoscopic Surgeons, v. 6, n. 4, p. 359, 2002.
LAU, J. Y. et al. Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality. Digestion, v. 84, n. 2, p. 102-113, 2011.
LAU, W. Y. et al. Laparoscopic repair of perforated peptic ulcer. Journal of British Surgery, v. 82, n. 6, p. 814-816, 1995.
LEUSINK, A. et al. Laparoscopic surgery for perforated peptic ulcer: an English national population-based cohort study. Surgical Endoscopy, v. 32, n. 9, p. 3783-3788, 2018.
LEWIS, J. D. et al. Moderate and high affinity serotonin reuptake inhibitors increase the risk of upper gastrointestinal toxicity. Pharmacoepidemiology and Drug Safety, v. 17, n. 4, p. 328-335, 2008.
LIN, B.C. et al. Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy. Journal of Surgical Research, v. 220, p. 341-345, 2017.
MALFERTHEINER, P.; CHAN, F. K. L; MCCOLL, K. E. L. Peptic ulcer disease. The Lancet, v. 374, n. 9699, p. 1449-1461, 2009.
MANCO, G. et al. Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study. Minerva Chirurgica, v. 75, n. 6, p. 436-441, 2020.
MIRABELLA, A. et al. Laparoscopy is an available alternative to open surgery in the treatment of perforated peptic ulcers: a retrospective multicenter study. BMC Surgery, v. 18, n. 1, p. 1-6, 2018.
MOHAMEDAHMED, A. Y. Y. et al. Comparison of Omental Patch Closure Versus Simple Closure for Laparoscopic Repair of Perforated Peptic Ulcer: A Systematic Review and Meta-Analysis. The American Surgeon, p. 00031348211067991, 2022.
MOURET, P. et al. Laparoscopic treatment of perforated peptic ulcer. Journal of British Surgery, v. 77, n. 9, p. 1006-1006, 1990.
NATHANSON, L. K.; EASTER, D. W.; CUSCHIERI, A. Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer. Surgical Endoscopy, v. 4, n. 4, p. 232-233, 1990.
ODISHO, T. et al. Outcomes of laparoscopic modified Cellan-Jones repair versus open repair for perforated peptic ulcer at a community hospital. Surgical Endoscopy, p. 1-8, 2022.
OLUFAJO, O. A. et al. Trends in the surgical management and outcomes of complicated peptic ulcer disease. The American Surgeon, v.86, n.7, p.856-864, 2020.
PAN, C.W. et al. Simple laparoscopic repair of perforated peptic ulcer without omental patch. Asian Journal of Surgery, v. 43, n. 1, p. 311-314, 2020.
PANIN, S. I. et al. Open and laparoscopic surgery via minimally invasive approach in the treatment of perforated ulcer: a systematic review and metaanalysis. Khirurgiia, n. 2, p. 94-100, 2021.
PELLONI, M. et al. Comparative study of postoperative complications after open and laparoscopic surgery of the perforated peptic ulcer: Advantages of the laparoscopic approach. Asian Journal of Surgery, v. 45, n. 4, p. 1007-1013, 2022.
PEREIRA, A. et al. Surgery for Perforated Peptic Ulcer: Is Laparoscopy a New Paradigm?. Minimally Invasive Surgery, v. 2021, 2021.
PESCATORE, P. et al. Combined laparoscopic-endoscopic method using an omental plug for therapy of gastroduodenal ulcer perforation. Gastrointestinal Endoscopy, v. 48, n. 4, p. 411-414, 1998.
QUAH, G. S.; ESLICK, G. D.; COX, M. R. Laparoscopic repair for perforated peptic ulcer disease has better outcomes than open repair. Journal of Gastrointestinal Surgery, v. 23, n. 3, p. 618-625, 2019.
RIVAI, M. I.; SUCHITRA, A.; JANER, A. Evaluation of clinical factors and three scoring systems for predicting mortality in perforated peptic ulcer patients, a retrospective study. Annals of Medicine and Surgery, v. 69, p. 102735, 2021.
ROCHA, K.N.S. et al. Técnicas de acesso abdominal usadas em cirurgia laparoscópica. Brazilian Journal of Health Review, v. 5, n. 1, p. 2987-3004, 2022.
SALEH, A. A. et al. Laparoscopic omental patch for perforated peptic ulcer disease reduces length of stay and complications, compared to open surgery: a SWSC multicenter study. The American Journal of Surgery, v. 218, n. 6, p. 1060-1064, 2019.
SALMAN, M. A. et al. Surgical Management of Perforated Peptic Ulcer: A Comparative Meta-analysis of Laparoscopic Versus Open Surgery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, v. 32, n. 5, p. 586-594, 2022.
SAZHIN, A. V. et al. Comparison of laparoscopic and open suturing of perforated peptic ulcer complicated by advanced peritonitis. Khirurgiia, n. 3, p. 13-21, 2020.
SENGUPTA, T. K. et al. Surgical management of peptic perforation in a tertiary care center: A retrospective study. Nigerian Medical Journal: Journal of the Nigeria Medical Association, v. 61, n. 6, p. 328, 2020.
SIOW, S. L. et al. Laparoscopic versus open repair of perforated peptic ulcer: Improving outcomes utilizing a standardized technique. Asian Journal of Surgery, v. 41, n. 2, p. 136-142, 2018.
SIVARAM, P.; SREEKUMAR, A. Preoperative factors influencing mortality and morbidity in peptic ulcer perforation. European Journal of Trauma and Emergency Surgery, v. 44, n. 2, p. 251-257, 2018.
SMITH, R. S.; SUNDARAMURTHY, S. R.; CROAGH, D. Laparoscopic versus open repair of perforated peptic ulcer: A retrospective cohort study. Asian Journal of Endoscopic Surgery, v. 12, n. 2, p. 139-144, 2019.
SØREIDE, K. et al. Perforated peptic ulcer. The Lancet, v. 386, n. 10000, p. 1288-1298, 2015.
SØREIDE, K.; THORSEN, K.; SØREIDE, J. A. Strategies to improve the outcome of emergency surgery for perforated peptic ulcer. Journal of British Surgery, v. 101, n. 1, p. e51-e64, 2014.
STEPANYAN, S. A. et al. Laparoscopic and open repair for perforated duodenal ulcer: single-center experience. Videosurgery and Other Miniinvasive Techniques, v. 14, n. 1, p. 60-69, 2019.
SUNG, J. J. Y.; KUIPERS, E. J.; EL‐SERAG, H. B. Systematic review: the global incidence and prevalence of peptic ulcer disease. Alimentary Pharmacology & Therapeutics, v. 29, n. 9, p. 938-946, 2009.
TARASCONI, A. et al. Perforated and bleeding peptic ulcer: WSES guidelines. World Journal Of Emergency Surgery, v. 15, n. 1, p. 1-24, 2020
TARASENKO, S. V. et al. Modern aspects of the complex treatment of perforated gastric and duodenal ulcer. Khirurgiia, n. 1, p. 42-46, 2021.
TARTAGLIA, D. et al. Laparoscopic versus open repair of perforated peptic ulcers: analysis of outcomes and identification of predictive factors of conversion. Updates in Surgery, p. 1-9, 2022.
THORSEN, K. et al. Epidemiology of perforated peptic ulcer: age-and gender-adjusted analysis of incidence and mortality. World Journal of Gastroenterology: WJG, v. 19, n. 3, p. 347, 2013.
THORSEN, K. et al. Trends in diagnosis and surgical management of patients with perforated peptic ulcer. Journal of Gastrointestinal Surgery, v. 15, n. 8, p. 1329-1335, 2011.
TULINSKÝ, L. et al. Laparoscopic Repair Modality of Perforated Peptic Ulcer: Less Is More?. Cureus, v. 14, n. 10, 2022.
VAJDA, K.; SIKORSZKI, L. Laparoszkópia helye a gastro-duodenális fekélyperforációk ellátásában. Magyar Sebészet (Hungarian Journal of Surgery), v. 73, n. 4, p. 140-147, 2020.
VAKAYIL, V.et al. Surgical repair of perforated peptic ulcers: laparoscopic versus open approach. Surgical Endoscopy, v. 33, n. 1, p. 281-292, 2019.
VĂRCUŞ, F. et al. Laparoscopic repair for perforated peptic ulcer: a retrospective study. World Journal of Surgery, v. 41, n. 4, p. 948-953, 2017.
VARCUS, F. et al. Laparoscopic repair of perforated peptic ulcer. Minerva Chirurgica, v. 73, n. 2, p. 188-193, 2018.
WANG, Y.H. et al. Potential use of peptic ulcer perforation (PULP) score as a conversion index of laparoscopic-perforated peptic ulcer (PPU) repair. European Journal of Trauma and Emergency Surgery, p. 1-9, 2020.
WILHELMSEN, M.; MØLLER, M. H.; ROSENSTOCK, S. Surgical complications after open and laparoscopic surgery for perforated peptic ulcer in a nationwide cohort. Journal of British Surgery, v. 102, n. 4, p. 382-387, 2015.
WRIGHT, G. P. et al. Cost-efficiency and outcomes in the treatment of perforated peptic ulcer disease: laparoscopic versus open approach. Surgery, v. 156, n. 4, p. 1003-1008, 2014.
YOON, J. J. et al. Laparoscopic single figure of eight suturing omentopexy for the treatment of a perforated duodenal ulcer. Journal of Minimally Invasive Surgery, v. 22, n. 1, p. 23-28, 2019.
ZELICKSON, M. S. et al. Helicobacter pylori is not the predominant etiology for peptic ulcers requiring operation. The American Surgeon, v. 77, n. 8, p. 1054-1060, 2011.
ZOGOVIC, S. et al. Laparoscopic repair of perforated peptic ulcer is not prognostic factor for 30-day mortality (a nationwide prospective cohort study). International Journal of Surgery, v. 72, p. 47-54, 2019.
