腹腔镜与开腹胃十二指肠溃疡穿孔修补术的对比研究

目的:探讨腹腔镜胃十二指肠溃疡穿孔修补术的可行性及安全性.方法:回顾分析2008年1月至2010年5月收治的30例腹腔镜和38例开腹胃十二指肠溃疡穿孔修补患者的临床资料.结果:腹腔镜组与开腹组平均手术时间分别为(58.64±10.6)min和(76.42±15.4)min(P＜0.05);术中出血量分别为(35.84±...

Comparative study between laparoscopic and open repair of perforated gastroduodenal ulcer

Objective:To study the feasibility and safety of laparoscopic repair of perforated gastroduodenal ulcer.Methods:The laparoscopic experience on 30 patients with perforated gastroduodenal ulcer was compare with 38 patients who had undergone open repair of perforated gastroduodenal ulcer.Results:The operative time was(58.64±10.6)min in the laparoscopic group and(76.42±15.4)min in the open group(P<0.05).The blood loss was(35.84±12.26)ml in the laparoscopic group and(80.65±25.46)ml in the open group(P<0.001).The number of patients who needed analgesic drugs was less and bowl function returned earlier in the laparoscopic group(P<0.01).The postoperative hospital stay was shorter in laparoscopic group(P<0.01).There was no complication in the laparoscopic group.In the open group,two patients had pelvic abscess.Conclusions:Compared with open technique,the laparoscopic repair of perforated gastroduodenal ulcer is safe and feasible,provides the advantages of less pain,quicker recovery and less complication.