腹腔镜在胃十二指肠溃疡穿孔修补手术中的应用  

Laparoscopic neoplasty in the treatment of perforated gastroduodenal ulcer general surgery

作　　者：胡安然[1,2] 王永忠[1,2] 徐书楷[1,2] 黄可出[1,2] 

机构地区：[1]福建省三明市第二医院 [2]福建中医药大学附属第五临床医学院,福建永安366000

出　　处：《中国当代医药》2013年第13期179-180,共2页China Modern Medicine

摘　　要：目的探讨腹腔镜修补术治疗胃十二指肠溃疡穿孔的可行性和安全性。方法回顾性分析67例腹腔镜胃十二指肠穿孔修补术患者的临床资料。结果手术全部成功,无中转开腹,平均手术时间为55min,平均术后排气时间为23.8h,无使用镇痛药物,无戳口感染及腹腔脓肿发生,平均住院时间为6.3d。结论腹腔镜手术治疗胃十二指肠溃疡穿孔是可行的,并具有创伤小、康复快、并发症少等优点,值得临床推广应用。Objective To explore the feasibility and safety of laparoscopic neoplasty in the treatment of perforated gastroduodenal ulcer, Methods The clinical data of 67 patients with gastroduodenal ulcer perforation underwent laparoscopic neoplasty were analyzed dretrospectively, Results All operations were successful and no one was converted to open surger, the mean length of operation time was 55 rain, the mean post-operative exhaust time was 23.8 h, no one used analgesic drugs, no one suffered from wound infection and abdominal abscess, the mean post-operative hospitalization duration was 6.3 d, Conclusion Laparoscopic neoplasty in the treatment of perforated gastroduodenal ulcer is safe and feasible, with advantages of minimal invas^on, early recovery, few complications, it is worthy to be popularized in clinic.

关 键 词：胃十二指肠溃疡穿孔修补术 腹腔镜 应用 可行性 

分 类 号：R57[医药卫生—消化系统]