腹腔镜胃十二指肠溃疡穿孔修补术26例分析

Laparoscopic repair for gastroduodenal ulcer perforation:a report of 26 cases

目的:总结腹腔镜治疗胃十二指肠溃疡穿孔的优点及注意问题。方法:对胃十二指肠穿孔患者在腹腔镜监视下探查并修补。结果:除2例胃穿孔快速病理活检提示为癌,1例幽门梗阻中转开腹,其余手术均获成功,平均手术时间55 min,3～4 d后进流质,6～7 d后出院,未发生并发症。结论:腹腔镜治疗胃十二指肠溃疡穿孔,诊断明确,创伤小,恢复快,并发症少,效果佳,应加以推广、普及。

Objective To summarize the clinical application of laparoscopic repair of peptic ulcer perforation.Method Total 26 cases of peptic ulcer perforation were treated with laparoscope.Results Except that 2 cases of carcinoma,1 case of pyloric obstruction converted to open surgery,the others were successful and no complication happened,the average operating time was 55 min,3～4 days intake liquid diet,6～7 days leaving hospital.Conclusion This method not only has small injuries,less postoperative complications and definite diagnosis and treatment,but also shows fully the advantages of keyhole surgery and may be used in the treatment of peptic ulcer perforation with laparoscopy in present.