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FANG Xingchao, CAO Xiaogang, YAN Zhengyuan, XIONG Bo, ZHANG Heng. Efficacy of laparoscopic surgery in treating gastric duodenal ulcer perforation versus open surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 52-54. DOI: 10.7619/jcmp.20200341
Citation: FANG Xingchao, CAO Xiaogang, YAN Zhengyuan, XIONG Bo, ZHANG Heng. Efficacy of laparoscopic surgery in treating gastric duodenal ulcer perforation versus open surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 52-54. DOI: 10.7619/jcmp.20200341
shu

Efficacy of laparoscopic surgery in treating gastric duodenal ulcer perforation versus open surgery

  • Department of General Surgery, Lishui District People's Hospital in Nanjing City of Jiangsu Province, Nanjing, Jiangsu, 210000

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  • Received Date: October 27, 2020
  • Available Online: March 14, 2021
  • Published Date: February 27, 2021
    Graphical Abstract
    • Abstract
  •   Objective  To compare clinical efficacy of laparoscopic surgery and open surgery in treating gastric duodenal ulcer perforation.
      Method   A total of 67 patients underwent repair of gastric duodenal ulcer perforation were selected, and were divided into laparoscopy group (n=25) and laparotomy group (n=42) according to different operation modes. The operation time, intraoperative blood loss, time of gastrointestinal function recovery, postoperative pain score, postoperative hospitalization time and occurrence of perioperative complications were compared in the two groups.
      Results  There were statistically significant differences in the operation time, time of gastrointestinal function recovery, postoperative pain score and postoperative hospitalization time in the two groups(P<0.05). There were no significant differences in intraoperative blood loss and occurrence of perioperative complications in the two groups(P>0.05).
      Conclusion  Laparoscopic procedure has the advantages of minimal invasion, less postoperative pain and faster recovery in treating gastric duodenal ulcer perforation.
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    • References (21)
  • [1]
    陈慰慰, 袁小兵, 陆少波, 等. 腹腔镜微创与开放修补术对老年消化道溃疡穿孔患者机体应激反应, 免疫功能及血清炎症因子水平的影响[J]. 标记免疫分析与临床, 2017, 24(133): 65-69. https://www.cnki.com.cn/Article/CJFDTOTAL-BJMY201711016.htm
    [2]
    彭正坤. 腹腔镜修补术治疗胃十二指肠溃疡急性穿孔的临床效果[J]. 临床合理用药杂志, 2019, 12(3): 23-24, 27. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201903098.htm
    [3]
    SØREIDE K, THORSEN K, HARRISON E M, et al. Perforated peptic ulcer[J]. Lancet, 2015, 386(10000): 1288-1298. doi: 10.1016/S0140-6736(15)00276-7
    [4]
    DRUART M L, VAN HEE R, ETIENNE J, et al. Laparoscopic repair of perforated duodenal ulcer[J]. Surg Endosc, 1997, 11(10): 1017-1020. doi: 10.1007/s004649900515
    [5]
    SIU W T, LEONG H T, LAW B K, et al. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial[J]. Ann Surg, 2002, 235(3): 313-319. doi: 10.1097/00000658-200203000-00001
    [6]
    GE B J, WU M, CHEN Q, et al. A prospective randomized controlled trial of laparoscopic repair versus open repair for perforated peptic ulcers[J]. Surgery, 2016, 159(2): 451-458. doi: 10.1016/j.surg.2015.07.021
    [7]
    魏晓利. 比较腹腔镜和开腹穿孔修补术治疗胃十二指肠溃疡急性穿孔的效果[J]. 河南外科学杂志, 2020, 26(3): 130-131. https://www.cnki.com.cn/Article/CJFDTOTAL-HLWK202003067.htm
    [8]
    LAU W Y, LEUNG K L, KWONG K H, et al. A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique[J]. Ann Surg, 1996, 224(2): 131-138. doi: 10.1097/00000658-199608000-00004
    [9]
    BERTLEFF M J, HALM W A, BEMELMAN, et al. Randomized clinical trial of laparoscopic versus open repair of the perforated peptic ulcer: the LAMA Trial[J]. World J Surg, 2009, 3(7): 1368-1373.
    [10]
    LAGOO S, MCMAHON R L, KAKIHARA M, et al. The sixth decision regarding perforated duodenal ulcer[J]. JSLS, 2002, 6(4): 359-368. http://www.ncbi.nlm.nih.gov/pubmed/12500837
    [11]
    DAVENPORT D L, UELAND W R, KUMAR S, et al. A comparison of short-term outcomes between laparoscopic and open emergent repair of perforated peptic ulcers[J]. Surg Endosc, 2019, 33(3): 764-772. doi: 10.1007/s00464-018-6341-7
    [12]
    BERGAMASCHI R, MÅRVIK R, JOHNSEN G, et al. Open vs laparoscopic repair of perforated peptic ulcer[J]. Surg Endosc, 1999, 13(7): 679-682. doi: 10.1007/s004649901072
    [13]
    VĂRCUŞF, BEURAN M, LICA I, et al. Laparoscopic repair for perforated peptic ulcer: a retrospective study[J]. World J Surg, 2017, 41(4): 948-953. doi: 10.1007/s00268-016-3821-6
    [14]
    曾科, 袁德汉. 腹腔镜修补术和开腹修补术治疗胃穿孔的效果比较分析[J]. 临床医学工程, 2019, 26(4): 459-460. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYX201906081.htm
    [15]
    刘勇. 可吸收线对腹腔镜胃十二指肠溃疡穿孔修补术患者术后愈合的影响[J]. 中国校医, 2020, 34(5): 40-41, 55. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202005015.htm
    [16]
    徐卫星, 章忠渭, 杨月明. 悬吊腹腔镜与气腹腹腔镜在胃十二指肠溃疡穿孔修补术中的应用比较[J]. 浙江实用医学, 2020, 25(1): 10-11, 21. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJSA202001004.htm
    [17]
    王维. 腹腔镜胃十二指肠溃疡穿孔修补术治疗胃十二指肠溃疡穿孔的临床价值[J]. 临床医药文献电子杂志, 2020, 7(40): 64-64, 80. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX202040055.htm
    [18]
    周常青. 比较腹腔镜手术与传统开腹手术治疗胃十二指肠溃疡穿孔的效果[J]. 临床医药文献电子杂志, 2020, 7(67): 16-17. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX201915073.htm
    [19]
    刘永杰. 腹腔镜与开腹胃十二指肠穿孔修补术的临床对比[J]. 世界最新医学信息文摘: 连续型电子期刊, 2020, 20(44): 76-77. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA200818029.htm
    [20]
    任建安, 吴秀文. 中国腹腔感染诊治指南(2019版)[J]. 中国实用外科杂志, 2020, 40(1): 1-16. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK202001001.htm
    [21]
    刘猛, 张如山, 邹大朋, 等. 腹腔镜与开腹手术治疗老年胃十二指肠溃疡穿孔的疗效及对COX-2, NF-κB, IL-8, IL-17表达的影响[J]. 海军医学杂志, 2020, 172(1): 54-58. https://www.cnki.com.cn/Article/CJFDTOTAL-HJYX202001016.htm
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