Endovideosurgical technology in the treatment of perforated gastroduodenal ulcers
EAES Academy. Ukhanov A. 07/05/22; 363175; P220
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Abstract
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The aim: Improving of the results of operative treatment of the patients with perforated gastroduodenal ulcers due to expansion of indication for endovideosurgical technology.
Material and methods: 416 patients with perforated ulcers of stomach and duodenum were operated on from 2013 till 2021 years. Age of the patients varied from 18 till 78 years. Laparoscopic treatment with Z-suturing of perforated hole and bubble test was carried out in 152 cases (36,5 %). 264 patients were operated on by laparotomy.
Results:
Conversion rate was 3,3 % (5 from 152 cases). One patient was operated on again a few hours after initial operation due to duodenal sutures leakage. Relaparoscopy and additional suturing was carried out with good result. Postoperative morbidity was 5,3 % (8 cases). One patient after laparoscopic treatment died (0,7 %), while in the group with open treatment of perforated ulcer postoperative mortality was 7,2 % (19 patients from 264 died).
Conclusion:
Expansion of indication for endovideosurgical technology has definite advantages over open methods in the surgical treatment of perforated gastroduodenal ulcer and, in the absence of contraindication should more widely applied in the urgent surgery departments.
Material and methods: 416 patients with perforated ulcers of stomach and duodenum were operated on from 2013 till 2021 years. Age of the patients varied from 18 till 78 years. Laparoscopic treatment with Z-suturing of perforated hole and bubble test was carried out in 152 cases (36,5 %). 264 patients were operated on by laparotomy.
Results:
Conversion rate was 3,3 % (5 from 152 cases). One patient was operated on again a few hours after initial operation due to duodenal sutures leakage. Relaparoscopy and additional suturing was carried out with good result. Postoperative morbidity was 5,3 % (8 cases). One patient after laparoscopic treatment died (0,7 %), while in the group with open treatment of perforated ulcer postoperative mortality was 7,2 % (19 patients from 264 died).
Conclusion:
Expansion of indication for endovideosurgical technology has definite advantages over open methods in the surgical treatment of perforated gastroduodenal ulcer and, in the absence of contraindication should more widely applied in the urgent surgery departments.
The aim: Improving of the results of operative treatment of the patients with perforated gastroduodenal ulcers due to expansion of indication for endovideosurgical technology.
Material and methods: 416 patients with perforated ulcers of stomach and duodenum were operated on from 2013 till 2021 years. Age of the patients varied from 18 till 78 years. Laparoscopic treatment with Z-suturing of perforated hole and bubble test was carried out in 152 cases (36,5 %). 264 patients were operated on by laparotomy.
Results:
Conversion rate was 3,3 % (5 from 152 cases). One patient was operated on again a few hours after initial operation due to duodenal sutures leakage. Relaparoscopy and additional suturing was carried out with good result. Postoperative morbidity was 5,3 % (8 cases). One patient after laparoscopic treatment died (0,7 %), while in the group with open treatment of perforated ulcer postoperative mortality was 7,2 % (19 patients from 264 died).
Conclusion:
Expansion of indication for endovideosurgical technology has definite advantages over open methods in the surgical treatment of perforated gastroduodenal ulcer and, in the absence of contraindication should more widely applied in the urgent surgery departments.
Material and methods: 416 patients with perforated ulcers of stomach and duodenum were operated on from 2013 till 2021 years. Age of the patients varied from 18 till 78 years. Laparoscopic treatment with Z-suturing of perforated hole and bubble test was carried out in 152 cases (36,5 %). 264 patients were operated on by laparotomy.
Results:
Conversion rate was 3,3 % (5 from 152 cases). One patient was operated on again a few hours after initial operation due to duodenal sutures leakage. Relaparoscopy and additional suturing was carried out with good result. Postoperative morbidity was 5,3 % (8 cases). One patient after laparoscopic treatment died (0,7 %), while in the group with open treatment of perforated ulcer postoperative mortality was 7,2 % (19 patients from 264 died).
Conclusion:
Expansion of indication for endovideosurgical technology has definite advantages over open methods in the surgical treatment of perforated gastroduodenal ulcer and, in the absence of contraindication should more widely applied in the urgent surgery departments.
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