Nathanson L K, Easter D W, Cuschieri A
Department of Surgery, Ninewells Hospital and Medical School, Dundee, UK.
Surg Endosc. 1990;4(4):232-3. doi: 10.1007/BF00316801.
Laparoscopic techniques have been refined to the point where exposure, haemostasis and tissue approximation by suture approach those obtained at open access surgery. We report a patient with acute perforation of an ulcer in the first part of the duodenum who was successfully treated by laparoscopic oversewing and omental patching. The clinical indications for contemplating use of laparoscopic surgery for acute ulcer perforation, techniques employed and the areas for potential improvement of instruments, needles and sutures are discussed.
腹腔镜技术已臻成熟，在暴露、止血以及通过缝合进行组织对合方面，已接近开放手术的水平。我们报告了一例十二指肠第一部溃疡急性穿孔患者，通过腹腔镜缝合及网膜修补术成功治愈。文中讨论了考虑采用腹腔镜手术治疗急性溃疡穿孔的临床指征、所采用的技术以及器械、缝针和缝线潜在的改进领域。
