关键词: 单向倒刺缝线, 胃十二指肠溃疡穿孔, 腹腔镜

Abstract: ［Abstract］ Objective To explore the safety and effectivity of unidirectional barbed suture for laparoscopic repair of the gastroduodenal ulcer perforation cases with the diameter of perforation greater than or equal to 1.0 cm. Methods From February 2014 to June 2017, 32 cases with gastroduodenal huge ulcer perforation who underwent laparoscopic repair by using unidirectional barbed suture were retrospectively reviewed, and the ulcer perforation was closed with a way of unidirectional barbed suture of full?thickness. The duration of surgery , intraoperative blood loss, flatus time after operation, hospital stay and complications were collected and analyzed. Results All of 32 cases underwent successful operations without conversion to open surgery and without perioperative complications. There were 24 cases with anterior wall of duodenal bulb ulcer perforation , and 8 cases with gastric antrum mastoideum ulcer perforation. There were 18 cases with the diameter of perforation greater than or equal to 1.0 cm and less than 1.5 cm, 10 with the diameter of perforation greater than or equal to 1.5 cm and less than 2.0 cm, and 4 with the diameter of perforation greater than or equal to 2.0 cm. The average operation duration was 43.06 ± 5.29 min. The intra?operative blood loss was 9.25 ± 3.47 ml. The flatus time after operation was 34.31 ± 7.85 h The hospital stay was 7.53 ± 1.02 d. Conclusion It is safe and effective to perform laparoscopic repair for the gastroduodenal ulcer perforation patients with the diameter of perforation greater than or equal to 1.0 cm by using unidirectional barbed suture, which This method reduces the difficulty of laparoscopic suture and beneficial to the recovery of patients.

Key words: laparoscopy, unidirectional barbed suture, gastroduodenal ulcer perforation