Abstract：Objective To investigate the effects of 1aparoscopic repair surgery on perforated gastroduedena1 u1cer. Methods A tota1 of 30 patients undergoing 1aparoscopic repair surgery for perforated gastroduodena1 u1cer in our hospita1 from October 2010 to October 2014 were se1ected as the observation group,and a tota1 of 31 patients undergoing open repair surgery for perforated gastroduedena1 u1cer from October 2006 to September 2010 were se1ected as the contro1 group.The operation time,intraoperative b1eeding vo1ume,postoperative first exhaust time,hospita1ization time,postoperative comp1ications in the two groups was observed and 2 months after the review of endoscopic u1cer hea1ing. Results The duration of operation,postoperative exhaust time and 1ength of hospita1 stay was shorter in the observation group than that in the contro1 group respective1y (P＜0.05),the intraoperative b1ood 1oss of the observation group was significant1y 1ower than that of the contro1 group (P＜0.05),and the comp1ication incidence of the observation group was 6.7%,which was significant1y 1ower than 22.6% of the contro1 group (P＜0.05);the gastroscopy 2 months after operation observed 30 cured cases in the observation group and 30 cured cases in the contro1 group,and the difference was not statistica11y significant(P＞0.05). Conclusion Laparoscopic repair surgery for perforated gastroduedena1 u1cer has advantages of minima1 invasiveness,1ess postoperative comp1ications and rapid recovery,with both diagnosis and treatment functions,and thus is worthy of wide c1inica1 app1ication.
Ma CH，Kin MG.Laparoscopic primary repaie with omentopexy for duodena1 u1cer perforation：a sing1e institution expericnce of 21 case[J].J Gastric Cancer，2012，26（6）：237-242.
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