Journal of Hebei Medical University

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Comparative study of transumbilical single hole and double hole laparoscopic repair of peptic ulcer perforation

  

  1. Department of General Surgery,Aerospace Center Hospital, Beijing 100049, China
  • Online:2016-02-25 Published:2016-04-27

Abstract: ] Objective Tosearchforabettermethodforlaparoscopicrepairofpepticulcer
perforation.Methods Retrospectiveanalyzed37casesunderwentlaparoscopicrepairofpeptic
ulcerperforation , thetransumbilicalsingleholegroup ( 15cases ), thedoubleholeslaparoscopic
group ( 22cases ) .Comparativeanalysisofthetransumbilicalsingleholegroupandthedouble
holeslaparoscopic group ofpatients with operationtime , intraoperative bleeding volume ,
postoperativefastingtime , liedinbedtime , hospitalizationtime , analgesicuse.Results The
operationtime , postoperativeexhausttimeandhospitalizationtimeofdoubleholeslaparoscopic
groupweresignificantlyshorterthanthoesofsingleportlaparoscopicgroup ( P <0.05 ); The
incisioninfectionofdoubleholeslaparoscopicgroupwassignificantlyreducedthanthatofsingle
holelaparoscopicgroup ( P <0.05 ); Theamountofintraoperativebleeding , analgesicuseandthe
mortalityratebetweenthetwogroupshadnosignificantdifference ( P >0.05 ) .Conclusion
Doubleholeslaparoscopicrepairwasmoreconvenientandmoresafetythantransumbilicalsingle
portlaparoscopicrepairofpepticulcerperforation , theoperationtimewasshorter , theincision
infectionratewaslower , therecoverytimeofintestinalperistalsisandthehospitalizationtime
wereshorter.

Key words: peptic ulcer perforation, laparoscopy, treatment outcome