摘要
目的:探讨腹腔镜上消化道溃疡穿孔修补术中的打结技巧。方法:为22例上消化道溃疡穿孔患者行腹腔镜上消化道溃疡穿孔修补术,穿孔直径0.3~1.5 cm。腹腔镜下沿纵轴缝合2~4针,配合应用滑结及方结完成打结。结果:22例均顺利完成穿孔修补术,手术时间60~140 min,平均(80±12)min。切口均甲级愈合。住院6~10 d,均无腹腔感染、肠粘连、肠梗阻等并发症发生。术后21例获随访,20例行胃镜检查,19例溃疡愈合,1例复发。结论:腹腔镜上消化道溃疡穿孔修补术中配合应用滑结及方结,可有效避免线结滑脱、组织撕裂,提高了手术安全性,节省了操作时间。
Objective:To investigate the knot tying techniques in laparoscopic repair of ulcer perforation in upper digestive tract. Methods :Twenty-two patients with ulcer perforation in upper digestive tract underwent laparoseopic repair, laparoscopie suture (sliding knot and square knot) was applied 2-4 times along the longitudinal axis. Results:Twenty-two cases of perforation repair were successfully completed, diameter of ulcer perforation was 0.3-1.5 cm, operation time was 60-140 min, with the average of (80 _+ 12) rain. Class-A wound healing rate was 100%. Hospital stay was 6-10 d. No complications were found such as abdominal infection, intestinal adhesions,and bowel obstruction. During postoperative follow-up of 21 cases,20 patients underwent gastroscopy, the ulcer of 19 cases healed. Perforation of ulcer recurred in 1 case. Conclusions:In laparoscopic repair of ulcer perforation in upper digestive tract, sliding knot and square knot can effectively avoid the tissue tearing and slippage of knot, improve operative safety, and save time.
出处
《腹腔镜外科杂志》
2013年第3期183-185,共3页
Journal of Laparoscopic Surgery