Perforated Peptic Ulcer, Comparison Between Laparoscopic and Open Repair.

[摘要] Introduction::Increasingevidenceispresentinginfavoroflaparoscopicrepairofperforatedpepticulcer(PPU).Aselectedgroupofpatientsmaybenefitmorewithlaparoscopicrepairthanwithopensurgery.Takingadvantagefromexperiencesofotherworkers,wetriedtodefinethisgroupofpatients.MaterialsandMethods::ThisisaretrospectivestudycomparinglaparoscopicrepairofPPUwithopenrepair.Weexcludedpatientswithshock,generalizedperitonitis,previousupperabdominalsurgery,largeulcer(#62;10mm),gastriculcer,andconcomitantpepticulcercomplicationsfrombothgroups.Closureofperforationinbothgroupswasperformedbysimplesutureclosurewithomentalpatch.Results::patientsunderwentlaparoscopicrepairrequiredlessanalgesicpostoperatively,returnedtonormaldietearlier,andhadashorterpostoperativehospitalstay.Laparoscopicrepairtookmoretimethanopensurgery.Conclusion::laparoscopicrepairofperforatedpepticulcerisadvantageoustoopensurgerybylesspostoperativepain,earlierreturntonormaldiet,andearlierdischargefromhospital.Itmaybeconsideredasasafetreatmentoptionforselectedpatientsinroutineclinicalpractice.

[学科分类] 基础医学

[关键词] peptic ulcer;perforation;repair;laparoscopy