腹腔镜胃十二指肠溃疡穿孔修补术22例经验与体会  

Laparoscopic Gastroduodenal Ulcer Perforation Repair Experience in 22 Cases and Experience

作　　者：曾庆敏[1] 雷福明[1] 黄文生[1] 洪宇明[1] 高兆亚 

机构地区：[1]北京大学首钢医院普通外科二病区,北京100144

出　　处：《中外医疗》2016年第24期101-102,共2页China & Foreign Medical Treatment

摘　　要：目的腹腔镜胃十二指肠溃疡穿孔修补术的初步手术经验与临床分析。方法整群选取2012年10月—2016年4月该院收治的22例胃十二指肠溃疡穿孔患者施行腹腔镜下缝合修补术,其中胃溃疡穿孔3例,十二指肠溃疡穿孔19例。结果 22例手术均成功,其中中转开腹4例,发生并发症3例,其中术后膈下感染1例、术后再穿孔1例、肠梗阻1例,均经治疗而痊愈。无围手术期死亡病例。结论腹腔镜胃十二指肠溃疡穿孔修补术应严格把握临床适应症,为减少手术并发症,术中需牢记手术要点;遇到暴露或修补困难以及怀疑恶性病变穿孔的病例应及时中转开腹。Objective Laparoscopic gastroduodenal ulcer perforation repair the preliminary operation experience and clinical experience.Methods Group selection from October 2012 to April 2016 22 cases of gastroduodenal ulcer perforation in patients with laparoscopic suture repair,the gastric ulcer perforation in 3 cases,19 cases of duodenal ulcer perforation.Results 22 cases are performed successfully,including transfer laparotomy in 4 cases,3 cases of complications,including postoperative diaphragm under infection in 1 case,postoperative perforation in 1 case again,intestinal obstruction in 1 case,both the treatment and healing.No perioperative deaths,conclusion laparoscopic Conclusion Gastroduodenal ulcer perforation repair should be strictly grasp the clinical indications,in order to reduce complications,intraoperative need to keep in mind the key points of operation;Revealing or repair difficulties and suspected cases of malignant lesions perforation should be timely transfer laparotomy.

关 键 词：腹腔镜 胃溃疡 十二指肠溃疡 穿孔 修补术 

分 类 号：R656.62[医药卫生—外科学]