RT Book, Section A1 Hunter, John G. A1 Spight, Donn H. A1 Sandone, Corinne A1 Fairman, Jennifer E. SR Print(0) ID 1162530386 T1 Closure of Perforated Duodenal Ulcer T2 Atlas of Minimally Invasive Surgical Operations YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071449052 LK accesssurgery.mhmedical.com/content.aspx?aid=1162530386 RD 2024/03/29 AB The laparoscopic approach is indicated in patients with a suspected or confirmed perforation of a duodenal ulcer. It is a suitable alternative to the standard open Graham patch repair, except in cases of prior upper abdominal surgery. Simple closure of the perforation is indicated for patients with ongoing instability, delayed presentation, or prohibitive medical comorbidities.