Since the advent of H2-receptor blockers and proton pump inhibitors elective surgery for ulcer disease is unusual, but in emergency surgery for complications such as perforation and gastric outlet obstruction, laparoscopic procedures are appropriate. These procedures include primary repair with omental patch for perforation and gastrojejunostomy bypass in cases of obstruction. Management of bleeding by laparoscopic techniques has not been reported. Laparoscopic gastrectomy for benign and malignant gastric tumors has been undertaken and is potentially feasible in a stable patient.
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