关键词: 胃十二指肠穿孔, 腹腔镜 , 开腹手术

Abstract: 【Abstract】〓Objective〓To compare the clinical efficacy of laparoscopoic gastroduodenal perforation repair and traditional open gastroduodenal perforation repair. Methods〓This was a prospective study in patients with gastroduodenal perforation in our hospital from June 2011 to June 2013. Thirty-five cases underwent laparoscopoic gastroduodenal perforation repair (laparoscopic group) and 31 received open gastroduodenal perforation repair (control group). The length of hospital stay, operative time,.anal exhaust time,..postoperative usage rate of analgesic drugs and incidence of postoperative complications were analyzed comparatively between two groups. Results〓All surgical procedures in both group were completed successfully and patients were cured..No case in the laparoscopic group transferred to open operation.Except the average operative time in laparoscopic group was longer than the control group, the length of hospital stay, anal exhaust time, postoperative usage rate of analgesic drugs and incidence of postoperative complications in laparoscopic group were lower than that of the control group. Conclusion〓Laparoscopic approach in the treatment of gastroduodenal perforation has better clinical effect than open gastroduodenal perforation repair.

Key words: Gastroduodenal ulcer perforation, Laparoscopy, Open operation