Kabashima A, Maehara Y, Hashizume M, Tomoda M, Kakeji Y, Ohno S, Sugimachi K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Surg Today. 1998;28(6):633-5. doi: 10.1007/s005950050196.
The laparoscopic repair of a perforated duodenal ulcer was effectively done in two patients both of whom were poor risks for surgery. One was a 39-year-old woman with a history of bronchial asthma since she was 20 years of age, while the other was a 76-year-old man with hepatocellular carcinoma, lung cancer, and diabetes mellitus. The postoperative course of these patients was uneventful. Based on these findings, the laparoscopic repair of a perforated duodenal ulcer should thus be considered as a first choice of treatment for a perforated duodenal ulcer, even in poor-risk patients.
两名手术风险较高的患者成功接受了腹腔镜十二指肠溃疡穿孔修补术。其中一名是39岁女性，自20岁起患有支气管哮喘；另一名是76岁男性，患有肝细胞癌、肺癌和糖尿病。这些患者术后恢复顺利。基于这些发现，即使对于手术风险较高的患者，腹腔镜十二指肠溃疡穿孔修补术也应被视为十二指肠溃疡穿孔的首选治疗方法。
