Potential use of peptic ulcer perforation (PULP) score as a conversion index of laparoscopic-perforated peptic ulcer (PP
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ORIGINAL ARTICLE
Potential use of peptic ulcer perforation (PULP) score as a conversion index of laparoscopic‑perforated peptic ulcer (PPU) repair Yu‑Hao Wang1 · Yu‑Tung Wu2 · Chih‑Yuan Fu2 · Chien‑Hung Liao2 · Chi‑Tung Cheng2 · Chi‑Hsun Hsieh2 Received: 22 August 2020 / Accepted: 6 November 2020 © The Author(s) 2020
Abstract Background Laparoscopic repair is a well-accepted treatment modality for perforated peptic ulcer (PPU). However, intraoperative conversion to laparotomy is still not uncommon. We aimed to identify preoperative factors strongly associated with conversion. Methods A retrospective review of records of all PPU patients treated between January 2011 and July 2019 was performed. Patients were divided into three groups: laparoscopic repair (LR), conversion to laparotomy (CL), and primary laparotomy (PL). Patient demographics, operative findings, and outcomes were compared between the groups. Logistic regression analyses were performed, taking conversion as the outcome. Results Of 822 patients, there were 236, 45, and 541 in the LR, CL, and PL groups, respectively. The conversion rate was 16%. Compared with those in the LR group, patients in the CL group were older (p
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