腹腔镜胃十二指肠溃疡穿孔修补术22例经验与体会

摘要

Objective Laparoscopic gastroduodenal ulcer perforation repair the preliminary operation experience and clini-cal 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. Re-sults 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 perfora-tion 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.%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。