Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Gyeongji-do, Korea.
Surg Endosc. 2011 Jan;25(1):229-33. doi: 10.1007/s00464-010-1164-1. Epub 2010 Jun 12.
Single-port laparoscopic surgery is increasingly used to treat various types of diseases requiring surgical intervention. We present the technique and the results of our simple "cross and twine" intracorporeal knotting approach for treatment of a perforated duodenal ulcer.
From January 2009 to October 2009, 13 patients with perforated duodenal ulcers underwent single-port laparoscopic repair. The laparoscopic procedure included peritoneal lavage and suture of the perforation. The omentum above the repair site was then reinforced. After surgery, patients took an H2 receptor antagonist for 8 weeks and then underwent follow-up gastrofiberscopy.
All procedures were completed under the conditions described. The mean operative time was 90.2 ± 24.2 min, and the mean hospital stay was 6.1 ± 0.5 days. The mean number of times that opiates were used for pain was 0.5 ± 1.0, and wound length was 1.9 ± 0.1 cm. There was no operation-related morbidity. Follow-up gastrofiberscopy revealed good lesion healing.
Single-port laparoscopic repair using the "cross and twine" knotting technique is a feasible and safe procedure, and it may be a less invasive laparoscopic surgical technique for scarless surgical treatment of perforated duodenal ulcers.
单孔腹腔镜手术越来越多地用于治疗需要手术干预的各种类型的疾病。我们介绍了一种简单的“交叉缠绕”腔内打结技术，用于治疗穿孔性十二指肠溃疡。
从 2009 年 1 月至 2009 年 10 月，13 例穿孔性十二指肠溃疡患者接受了单孔腹腔镜修补术。腹腔镜手术包括腹腔冲洗和穿孔缝合。然后在修复部位上方的大网膜上进行加固。手术后，患者接受 H2 受体拮抗剂治疗 8 周，然后进行随访胃镜检查。
所有手术均按所述条件完成。平均手术时间为 90.2 ± 24.2 分钟，平均住院时间为 6.1 ± 0.5 天。平均使用阿片类药物止痛次数为 0.5 ± 1.0 次，伤口长度为 1.9 ± 0.1 厘米。无手术相关并发症。随访胃镜检查显示病变愈合良好。
使用“交叉缠绕”打结技术的单孔腹腔镜修复术是一种可行且安全的方法，它可能是一种微创腹腔镜手术技术，用于无痕手术治疗穿孔性十二指肠溃疡。
