关键词: 腹腔镜, 胃十二指肠溃疡穿孔, 开腹

Abstract:

【Abstract】Objective To compare the effect of laparoscopic and open surgery in the treatment of gastric ulcer perforation. Methods A retrospective data of patients with gastric ulcer perforation was analyzed, in which 80 cases underwent laparoscopic operation and 78 cases underwent open surgery.The clinical effects were compared between two groups. Results The operation in laparoscopic group was successfully performed and no case was converted to open surgery. The curative effect of laparoscopic group was superior to that of open operation in hospital stay, postoperative off-bed time, blood loss, and the incision looking. One case of subcutaneous emphysema was found in laparoscopic group. Incision infection,abdominal abscess, lung infection, intestinal adhesion in laparoscopic group were lower than in open operation group..There was no significant difference in operative time and hospital costs between two groups. Conclusion Compared to open surgery, laparoscopic gastroduodenal ulcer perforation repair surgery has advantages in trauma, recovery time, hospital stay, complications rate and incision looking.

Key words: Laparoscope, Gastroduodenal ulcer perforation, Open surgery