腹腔镜缝合修补消化性溃疡穿孔29例报告

Laparoscopic repair for peptic ulcer perforation:with a report of 29 cases

目的：探讨腹腔镜缝合修补消化性溃疡的临床应用价值。方法：回顾分析2002-2007年我院应用腹腔镜缝合修补消化性溃疡穿孔29例患者的临床资料。结果：29例患者中胃窦部前壁穿孔9例,胃体部小弯侧穿孔7例,十二指肠球部前壁穿孔11例,2例病检诊断为癌性溃疡穿孔中转开腹。穿孔直径≤5mm 22例,〉5mm 7例。27例手术成功,无术后并发症发生。手术时间和住院时间短,均痊愈出院,随访6-42个月,无复发。结论：腹腔镜缝合修补消化性溃疡治疗消化性溃疡穿孔安全可靠,是一种较理想的手术方法,术后继续正规内科治疗,效果满意。

Objective：To evaluate the clinical value of laparoscopic repair of peptic ulcer perforation. Methods：The clinical data of 29 cases with laparoscopic repairment of peptic ulcer perforation in our hospial from 2002 to 2007 were analyzed retrospectively. Results：Among the 29 cases ,perforation of 9 cases located at anterior wall of gastric antrum,7 cases located at lesser curvature of gastric body. 11 cases located at anterior wall of duodenal bulb and 2 cases were transferred to open operation when cancerous ulcer were diagnosed. In 22 cases the diameter were no more than 5ram ,7 cases were more than 5ram. Laparoscopic repair was performed with irri- gation and drainage of adbominal cavity. 27 cases of operation were successful without complications. Operation time and hospital stay were shortened. During follow-up of 6-42 months, no recurrence occurred. Conclusions ：Laparoscopic repair of peptic ulcer perforation is a safe, reliable and ideal alternative with significant advantages.