Mutter D, Evrard S, Keller P, Vix M, Vartolomei S, Marescaux J
Clinique Chirurgicale A, Hôpital Central, Les Hôpitaux Universitaires, Strasbourg.
Ann Chir. 1994;48(4):339-44.
Ten patients underwent laparoscopic surgery for typical perforated peptic ulcer symptomatology. Two conversions to open surgery were due to technical problems related to delayed hospital admission. Nine patients underwent duodenal suture reinforced with fibrin glue, and one perforation was only glued. The postoperative course was uneventful without abdominal septic or abdominal wall complications in the eight patients treated by laparoscopy. Laparoscopic surgery may become the method of choice for the treatment of perforated peptic ulcer.
十名患者因典型的消化性溃疡穿孔症状接受了腹腔镜手术。两次转为开腹手术是由于与延迟入院相关的技术问题。九名患者接受了用纤维蛋白胶加固的十二指肠缝合,一名穿孔仅进行了粘合。在八名接受腹腔镜治疗的患者中,术后过程平稳,未出现腹部感染或腹壁并发症。腹腔镜手术可能会成为治疗消化性溃疡穿孔的首选方法。