Comparative study and nursing of iaparoscopy and laparotomy in the treatment of gastroduodenal ulcer perforation

Abstract

Objective To compare the efficacy of laparoscopy and laparotomy on gastroduodenal ulcer perforation,and provide references for clinics. Methods The 176 patients with gastroduodenal ulcer perforation were divided into the laparoscopic group and laparotomy group,according to the wills of the patients or their family members. The operative time,intra-operative blood loss,incision size,incidence of complications,postoperative recovery time of bowl function,hospital stay were observed. Results The operative time was significantly longer in laparoscopic group than that in laparotomy group, there was significant difference（P﹤0. 05）. The intraoperative blood loss,incision size,the postoperative recovery time of intestinal peristalsis,incidence of complications and hospital stay were significantly lower in laparoscopic group than that in laparotomy group,there were significant differences（P﹤0. 05）. The incidences of wound infection,pulmonary infection and laparoscopic intestinal viscosity were significantly lower in laparoscopic group than those in laparotomy group,there were significant differences（ P﹤0. 05）. Conclusions Compared with the laparotomy,the laparoscopic repairment of gastroduodenal ulcer perforation has better effect,and is one safe and effective surgery method. Key words: Laparoscopy ; Gastroduodenal ulcer perforation ; Laparotomy