Rosin D, Kurianski Y, Shabtai M, Ayalon A
Dept. of General Surgery and Transplantation, Sheba Medical Center, Tel Hashomer.
Harefuah. 1998 May 15;134(10):770-2, 831.
As laparoscopy becomes more prevalent, it is being used for a growing variety of abdominal operations, both electively and as emergency treatment. We describe our preliminary experience in laparoscopic repair of perforated duodenal ulcer. 2 women and 2 men, aged 40-78 were operated over a period of 4 months and in all laparoscopic suture and omentopexy were performed with meticulous abdominal lavage. Despite somewhat longer operative time but a similar period of hospitalization, the easier post-operative course and fewer wound complications justify this technique. The effectiveness of medical treatment of peptic disease, and especially the anti-Helicobacter pylori regimen, supports the view that closure of the perforation is usually enough, and vagotomy is not needed.
随着腹腔镜检查越来越普遍，它被越来越多地用于各种腹部手术，包括择期手术和急诊治疗。我们描述了我们在腹腔镜修复十二指肠溃疡穿孔方面的初步经验。在4个月的时间里，对2名女性和2名男性，年龄在40 - 78岁之间进行了手术，所有患者均进行了腹腔镜缝合和网膜固定，并进行了细致的腹腔灌洗。尽管手术时间稍长，但住院时间相似，术后恢复过程更轻松且伤口并发症更少，证明了这种技术的合理性。消化性疾病的药物治疗，尤其是抗幽门螺杆菌方案的有效性，支持了这样一种观点，即穿孔闭合通常就足够了，不需要进行迷走神经切断术。
