[腹腔镜治疗胃十二指肠溃疡穿孔]

[Laparoscopic treatment of perforated gastroduodenal ulcers].

作者信息

Ukhanov A P, Zakharov D V, Zhilin S A, Bolshakov S V, Muminov K D, Aselderov Yu A

机构信息

Central City Clinical Hospital, Veliky Novgorod, Russia.

Jaroslav the Wise Novgorod State University, Veliky Novgorod, Russia.

出版信息

Khirurgiia (Mosk). 2023(8):100-109. doi: 10.17116/hirurgia2023081100.

DOI:10.17116/hirurgia2023081100

PMID:37530778

Abstract

The review is devoted to laparoscopic technology in the treatment of perforated gastroduodenal ulcers. Searching for literature data was performed in the PubMed, Google, Springer Link online library, Cochrane Systematic Review databases. We analyzed reviews, prospective and retrospective studies devoted to various strategies in the treatment of perforated peptic ulcers. Demographic, clinical and epidemiological features of these patients, indications and contraindications for endoscopic suturing of perforations, features of laparoscopic procedures and causes of conversions to open surgery were studied. Finally, we compared the results of laparoscopic and open surgeries.

摘要

本综述致力于探讨腹腔镜技术在治疗胃十二指肠溃疡穿孔中的应用。在PubMed、谷歌、施普林格在线图书馆、Cochrane系统评价数据库中检索文献资料。我们分析了关于消化性溃疡穿孔各种治疗策略的综述、前瞻性和回顾性研究。研究了这些患者的人口统计学、临床和流行病学特征、穿孔内镜缝合的适应证和禁忌证、腹腔镜手术的特点以及转为开放手术的原因。最后，我们比较了腹腔镜手术和开放手术的结果。