Takeuchi H, Kawano T, Toda T, Minamisono Y, Nagasaki S, Sugimachi K
Institute of Gastroenterology of Hofu, Yamaguchi, Japan.
Surg Laparosc Endosc. 1998 Apr;8(2):153-6.
We report our initial experience with perforated duodenal ulcer treated by laparoscopic repair with omental patch in six patients, and the results are compared with those of other procedures retrospectively. The average operative time was 85.0 min, and the estimated blood loss was 13.7 ml. The estimated blood loss of laparoscopic repair was significantly less than that of gastrectomy (p < 0.01). However, although all patients with gastrectomy or open omental patch needed administration of analgesia, only half of patients require analgesia in laparoscopic repair. No postoperative complication was encountered, and the recurrence of ulcer was not recognized in a mean follow-up of 10 months. We recognized this procedure to be safe and feasible. Although a larger number of patients with longer follow-up is needed, this procedure may become one of the treatments for perforated duodenal ulcer.
我们报告了6例采用腹腔镜大网膜修补术治疗十二指肠溃疡穿孔的初步经验，并回顾性地将结果与其他手术方法进行了比较。平均手术时间为85.0分钟，估计失血量为13.7毫升。腹腔镜修补术的估计失血量明显少于胃切除术（p<0.01）。然而，虽然所有接受胃切除术或开放大网膜修补术的患者都需要使用镇痛药，但腹腔镜修补术中只有一半的患者需要使用镇痛药。未发生术后并发症，平均随访10个月未发现溃疡复发。我们认为该手术安全可行。尽管需要更多患者进行更长时间的随访，但该手术可能会成为十二指肠溃疡穿孔的治疗方法之一。
