Laparoscopic use of hepatic round ligament patch for duodenal perforation Toshio IKEDA 1 , Manabu SUDA 1 , Kenya KUNIMASA 1 1Department of Surgery, Tamano Municipal Hospital Keyword: 十二指腸潰瘍穿孔 , 腹腔鏡下肝円索充塡被覆術 pp.673-676
Published Date 2004/12/15
DOI https://doi.org/10.11477/mf.4426900559
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A 63-year-old male came to our hospital because of an upper abdominal pain. A chest radiograph and chest computed tomography showed free air in the peritoneal cavity. Endoscopic examination revealed, an ulcer with-out stenosis in the anterior wall of the duodenum. The diagnosis of duodenal ulcer with peritonitis was made and treatment of this perforation using large omental patch laparoscopically was planned. However, since the large omentum was too short owing to inflammation, hepatic round ligament was used as patch.

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