摘要
目的总结腹腔镜胃、十二指肠穿孔修补经验。方法对27例胃十二指肠穿孔患者施行腹腔镜修补术。结果 22例十二指肠穿孔、5例胃窦穿孔均行腹腔镜修补,平均住院5.2d,无术中及术后并发症。结论腹腔镜胃十二指肠穿孔修补术具有安全、可靠、患者恢复快和痛苦少等优点。对胃穿孔须考虑溃疡恶变或胃癌情况,术中须切取穿孔边缘组织行冰冻切片检查,以便及时发现胃癌,进行根治性治疗。
Objective To study the experience of laparoscopy in repairing in gastric and duodenum perforation.Methods 27 patients with gastric and duodenum perforation were performed laparoscopic repair.Results 22 patients with duodenum perforation and 5 patients with gastric perforation were safely operated.The mean time of hospitalization was 5.2days.There was no intraoperative and postoperative complication.Conclusion Laparoscopy is one of the safe,quick recovery and little pain in repairing duodenum perforation,but it should be done with great care in repairing gastric perforation for malignant change of gastric ulcer and primary gastric carcinoma.The perforated edge of frozen biopsy tissue should be preformed in order to discover gastric cancer and curative treatment.
出处
《海南医学》
CAS
2011年第2期84-85,共2页
Hainan Medical Journal
