Sigman H H, Garzon J, Marelli D
Division of General Surgery, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Canada.
J Laparoendosc Surg. 1992 Dec;2(6):325-7; discussion 329-30. doi: 10.1089/lps.1992.2.325.
Simple patch closure is a treatment option for perforated duodenal ulcer. A 46-year-old male was admitted with evidence of perforation of a duodenal ulcer. The decision was made to carry out laparoscopy to confirm the diagnosis and to close the perforation. This was accomplished without difficulty by suture closure of an anterior perforation and application of an omental patch. The patient had an uneventful recovery. Laparoscopy can be of value in the diagnosis and treatment of perforated duodenal ulcer. The principles of management should be essentially similar to those adhered to during open surgery.
单纯修补术是十二指肠溃疡穿孔的一种治疗选择。一名46岁男性因十二指肠溃疡穿孔的证据入院。决定进行腹腔镜检查以确诊并封闭穿孔。通过缝合关闭前壁穿孔并应用网膜补片，顺利完成了手术。患者恢复顺利。腹腔镜检查在十二指肠溃疡穿孔的诊断和治疗中具有价值。治疗原则应与开放手术时遵循的原则基本相似。
