Elio Amedeo, Veronese Ezio, Dal Dosso Ivano, Orcalli Francesco
Divisione di Chirurgia Ospedale Civile Zavarise-Manani, ASL 20 Regione del Veneto, Viale Trieste, 37047 San Bonifacio, Verona.
Chir Ital. 2002 Jan-Feb;54(1):51-3.
The authors report on their experience with the treatment of 34 consecutive patients suffering from perforated peptic ulcer with peritonitis. All patients has been treated by the laparoscopic approach using sutures according to the Graham-Steele technique and omental plication. Irrigation, suction of the entire abdominal cavity with isotonic sodium chloride solution and drainage completed the procedure. In three cases, after an initial laparoscopic operation, we converted to laparotomy because of a large or unusually positioned ulcer. The morbidity rate was low and one patient died of myocardial infarction. The mean hospital stay was seven days. The method, which requires good laparoscopic experience, is simple, allows thorough toilette, has a low morbidity and is safe for the patient.
作者报告了他们连续治疗34例患有穿孔性消化性溃疡并伴有腹膜炎患者的经验。所有患者均采用腹腔镜手术治疗，根据格雷厄姆-斯蒂尔技术使用缝线并进行网膜折叠术。用等渗氯化钠溶液冲洗、抽吸整个腹腔并进行引流完成手术。在3例患者中，最初进行腹腔镜手术后，由于溃疡较大或位置异常，我们转为开腹手术。发病率较低，1例患者死于心肌梗死。平均住院时间为7天。该方法需要良好的腹腔镜手术经验，操作简单，能进行彻底的清洗，发病率低且对患者安全。
