腹腔镜下胃十二指肠溃疡穿孔修补术32例

The Repair of a Report of 32 Cases of Laparoscopic Gastroduodenal Ulcer Perforation

目的探讨腹腔镜下胃十二指肠溃疡穿孔修补术治疗方法。方法对收治的胃十二指肠溃疡穿孔行腹腔镜下修补术32例。结果 32例患者均成功完成腹腔镜下穿孔修补术。手术用时40~110 min,平均55 min;术后住院数5~10天,平均住院天数为7天,在腹腔引流管每天引流液少于20m L时拔出引流管,在3~5天之间。术后1例患者因刀口疼痛使用了止痛药物,未出现腹腔感染情况。1例出现Trocar孔感染,反复换药后愈合。结论腹腔镜下胃十二指肠溃疡穿孔修补术是治疗胃十二指肠溃疡穿孔的可靠方法。

Objective To study the method of laparoscopic repair in the treatment of perforated gastroduodenal ulcer. Methods 32 cases of gastric and duodenal ulcer in our hospital in 2013 November ~2014 year in August admitted to the perforation underwent laparoscopic gastric ulcer perforation repair were analyzed retrospectively. Results 32 patients were successfully performed laparoscopic perforation repair. Operation when using 40--110 min, using an average of about55 min, postoperative hospitalization number 5 to 10 days, the average hospital stay was 7 days, every day in the tube drainage liquid less than 20 ml pull out the drainage tube drainage of abdominal cavity, between about 3 to 5 days. In 1 patients with incision pain used analgesic drugs. No abdominal cavity infection. One case of Trocar infection healed after dressing change hole, repeatedly. Conclusion Laparoscopic gastric ulcer perforation repair is a reliable method for the treatment of perforated gastric or duodenal ulcer is better than open operation.