Shurkalin B K, Kriger A G, Faller A P, Rzhebaev K E
Vestn Khir Im I I Grek. 1998;157(3):69-72.
The authors have performed operations on 32 patients with perforated ulcers of the duodenum and 7 patients with perforated ulcers of the stomach. The diameter of the perforations was 2-8 mm. In 10 of the 39 patients the perforation defects could not be sutured by the laparoscopic method. The authors consider that of great significance for the decision to make laparoscopic operations was the diagnosis of peritonitis, size and localization of the perforation, the surgeon's experience with endoscopic operating. The technique of laparoscopic suturing the perforations is described. Special attention is paid to the special disposition of the surgeon and his assistant at the operating table.
作者对32例十二指肠溃疡穿孔患者和7例胃溃疡穿孔患者进行了手术。穿孔直径为2 - 8毫米。39例患者中有10例的穿孔缺损无法用腹腔镜方法缝合。作者认为，对于决定是否进行腹腔镜手术，腹膜炎的诊断、穿孔的大小和位置以及外科医生的内镜手术经验具有重要意义。文中描述了腹腔镜缝合穿孔的技术。特别关注了外科医生及其助手在手术台上的特殊站位。
