腹腔镜与传统方法闭合消化性溃疡穿孔的比较
Laparoscopic and conventional closure of perforated peptic ulcer. A comparison.
作者信息
Miserez M, Eypasch E, Spangenberger W, Lefering R, Troidl H
机构信息
Department of Surgery II, University of Cologne, Krankenhaus Merheim, Ostmerheimer Strasse 200, D-51109 Köln, Germany.
出版信息
Surg Endosc. 1996 Aug;10(8):831-6. doi: 10.1007/BF00189544.
BACKGROUND
After the first successful laparoscopic closure of a perforated peptic ulcer in 1990, 18 patients with laparoscopic closure were compared to 16 patients with conventional surgery.
METHODS
The endpoint adverse events (complications), pain intensity, operation time, fever, leucocytosis, and duration of hospital stay showed no clinically relevant differences.
RESULTS
Consumption of analgesics was lower in the laparoscopic group.
CONCLUSIONS
Laparoscopic closure of perforated peptic ulcer is technically feasible. The safety of the method and the benefit for the patient need proof by means of a randomized controlled trial.
背景
1990年首次成功进行腹腔镜下消化性溃疡穿孔闭合术后，将18例行腹腔镜闭合术的患者与16例行传统手术的患者进行了比较。
方法
终点不良事件（并发症）、疼痛强度、手术时间、发热、白细胞增多及住院时间在临床上无显著差异。
结果
腹腔镜组的镇痛药消耗量较低。
结论
腹腔镜下消化性溃疡穿孔闭合术在技术上是可行的。该方法的安全性及对患者的益处需要通过随机对照试验来证实。
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