Nicolau A E, Ionescu G, Iordache F, Mehic R, Spătaru A
Clinica de chirurgie, Spitalul Clinic de Urgenţă Bucureşti.
Chirurgia (Bucur). 2002 May-Jun;97(3):305-11.
Between Nov. 1994-Jan. 2001 we performed laparoscopic suture with omentoplasty of perforated duodenal ulcer (PDU) in 51 patients out of 56 it was intended (this constituted the laparoscopic group--LG). The selection criteria were young patients, age < 40 years, no associated diseases, onset of the operation under 12 hours from the occurrence of the perforation, absence of clear ulcer history. In the same period, we performed an open suture based on the same criteria in 105 patients (open group--OP). The results showed a difference between needed analgesia (2.8 days for LG vs. 5.2 days for OG) and a hospital stay of 6.1 days in LG vs. 7.7 days in OG. The incidence of postoperative complications was 5.88% in the LG and 7.61% in the OG with 1.96% and respective 1.90% reoperation rate. In conclusion laparoscopic suture of PDU with associated postoperative modern therapy of ulcer disease could be the treatment of choice in young patients.
1994年11月至2001年1月期间，我们对56例拟行手术的患者中的51例进行了腹腔镜下十二指肠溃疡穿孔（PDU）缝合加网膜成形术（此为腹腔镜组——LG）。选择标准为年轻患者，年龄<40岁，无相关疾病，穿孔发生后12小时内开始手术，无明确溃疡病史。同期，我们根据相同标准对105例患者进行了开放缝合（开放组——OP）。结果显示，镇痛需求存在差异（LG为2.8天，OG为5.2天），住院时间LG为6.1天，OG为7.7天。LG术后并发症发生率为5.88%，OG为7.61%，再次手术率分别为1.96%和1.90%。总之，腹腔镜下PDU缝合联合术后溃疡病现代治疗可能是年轻患者的首选治疗方法。
