Alexakis N, Konstadoulakis M M, Leandros E, Albanopoulos K, Bramis J
Laparoendoscopic Unit, First Department of Propaedeutic Surgery, University of Athens, Hippocration Hospital, Athens, Greece.
Endoscopy. 2004 Apr;36(4):342-3. doi: 10.1055/s-2004-814295.
During laparoscopic cholecystectomy (LC) there is possibility of discovering concomitant occult intra-abdominal pathology and the surgeon must be prepared to undertake the appropriate procedure. We evaluated the incidence of latent perforated duodenal ulcer in 5539 patients who underwent LC for gallstone disease at our unit between November 1991 and November 2001. Seven (0.13 %) cases of perforated duodenal ulcer were discovered. Following the diagnosis of the perforation, laparoscopic suturing and omental patch repair was carried out in four patients, open repair with selective vagotomy and pyloroplasty in two patients and an open suture and omental patch repair in one patient. In all cases the cholesystectomy was completed successfully.
在腹腔镜胆囊切除术（LC）过程中，有可能发现并存的隐匿性腹腔内病变，外科医生必须做好准备进行适当的手术。我们评估了1991年11月至2001年11月期间在我们科室因胆结石疾病接受LC的5539例患者中潜在十二指肠穿孔溃疡的发生率。发现了7例（0.13%）十二指肠穿孔溃疡病例。穿孔诊断明确后，4例患者进行了腹腔镜缝合和网膜修补术，2例患者进行了选择性迷走神经切断术和幽门成形术的开放修补术，1例患者进行了开放缝合和网膜修补术。所有病例的胆囊切除术均成功完成。
