CAJ | 학술논문

目的：总结腹腔镜十二指肠溃疡穿孔修补术的临床经验。方法：回顾分析30例应用腹腔镜十二指肠溃疡穿孔修补术患者的临床资料。结果：本组手术均获成功，无中转开腹病例。手术时间30～90分钟，平均45分钟，术后3～5天拔除胃肠减压及腹腔引流管，术后5～6天进流质饮食。无出血、消化道损伤、切口感染、腹腔脓肿、无肺部感染及感染性休克等并发症，无穿孔部位再渗漏、肠梗阻发生。结论：腹腔镜十二指肠溃疡穿孔修补术治疗急性十二指肠溃疡穿孔具有效果肯定，安全可靠，具有良好的临床应用价值，可作为治疗十二指肠球部溃疡穿孔的首选术式。
목적：총결복강경십이지장궤양천공수보술적림상경험。방법：회고분석30례응용복강경십이지장궤양천공수보술환자적림상자료。결과：본조수술균획성공，무중전개복병례。수술시간30～90분종，평균45분종，술후3～5천발제위장감압급복강인류관，술후5～6천진류질음식。무출혈、소화도손상、절구감염、복강농종、무폐부감염급감염성휴극등병발증，무천공부위재삼루、장경조발생。결론：복강경십이지장궤양천공수보술치료급성십이지장궤양천공구유효과긍정，안전가고，구유량호적림상응용개치，가작위치료십이지장구부궤양천공적수선술식。
Objective:To investigate the clinical experience of laparoscopic repair of duodenal bulb ulcer perforation.Methods:The clinical data of 30 patients with laparoscopic repair of duodenal bulb ulcer perforation were retrospectively analyzed.Results:The operations of this group were successfully completed without open surgery.The operation time was 30 to 90 minutes,the average time was 45 minutes.Gastrointestinal decompression and peritoneal drainage were removed in 3 to 5 days after operation.Patients were eating liquid diet in 5 to 6 days after operation.There were no complications,such as bleeding,gastrointestinal injury,incision infection,intraperitoneal abscess and so on.Also there were the following complications,such as leakage at the site of perforation, intestinal obstruction,pulmonary infection and septic shock and so on.Conclusion:The clinical effect of laparoscopic duodenal ulcer perforation repair in the treatment of acute perforated duodenal ulcer is significant.It is safe and reliable,has a good clinical application value,so it can be used as the preferred surgical treatment of duodenal bulb ulcer perforation.