腹腔镜胃十二指肠溃疡穿孔修补术35例分析

Laparoscopic repair in 35 patients with gastric and duodenum perforation

目的总结腹腔镜下胃、十二指肠穿孔修补术的经验。方法对35例胃、十二指肠穿孔患者腹腔镜修补术的临床资料进行分析。结果34例胃、十二肠穿孔行腹腔镜穿孔修补术;1例胃癌穿孔中转开腹行胃癌根治切除术;平均住院7.5 d,无术中及术后并发症。结论腹腔镜胃十二指穿孔修补术具有安全、可靠,患者康复快和痛苦小等特点。

Objective To study the experience of laparoscopic repair in gastric and duodenum perforation. Methods 35 patients with gastric and duodenum perforation were performed laparoscopic repair. Results 34 patiets with gastric and duodenum perforation Were safely operated. 1 case with perforation of gastric carcinoma was converted to open for radial gastrectomy. The mean time of hospitalization was 7.5 days. There was no intraoperative and postoperative complications. Pathological examination showed 4 patients with perforation of gastric ulcer and one with perforation of gastric carcinoma. Conclusion Laparoscopic repair was one of the safe, quick recovery and little suffering treatment for duodenum perforation.