The clinical efficacy and safety of laparoscopic repair of perforation of gastroduodenal ulcer

Abstract

Objective To investigate the clinical efficacy and safety of laparoscopic repair of perforation of gastroduodenal ulcer. Methods From May 2013 to September 2016, a prospective study was conducted in our hospital, 110 cases with perforation of gastroduodenal ulcer were collected. according to the random numbers methods, they were divided into laparoscope (35 cases by suspension type in A group and 35 cases by pneumoperitoneum type in B group) and open type (40 cases in open group), open group was given open surgery, laparoscope A group was given suspension type, laparoscope B group was given pneumoperitoneum type. Statistical analysis was performed by using SPSS 20.0 software, intraoperative and postoperative relevant indicators, the postoperative pain scores and time of antibiotic usage were presented as ±s and examined by using t test; the incidence of complication was presented as [n(%)] and examined by chi square test. A P value of <0.05 was considered as significant difference. Results Compared with the open surgery group, the blood loss and postoperative pain scores of laparoscope A group with suspension type and B group with pneumoperitoneum type was significantly decreased, operation time, anus exhausting time, gastrointestinal decompression time, hospitalization time and antibiotic usage time were also significantly shorten; Compared with the laparoscope B group with pneumoperitoneum type, the blood loss and postoperative pain scores of laparoscope A group with suspension type were significantly decreased, operation time, anus exhausting time, gastrointestinal decompression time, hospitalization time and antibiotic usage time both significantly shorten (P<0.05); The total incidence of complications after operation of the laparoscope A group with suspension type was 3 cases (8.6%), the total incidence of complications after operation of laparoscope B group with pneumoperitoneum type was 5 cases (14.3%), the open surgery group was 14 cases (35.0%), which was significantly higher than that in the A and B group, the difference was statistically significant (P<0.05). Conclusion Laparoscope with suspension type in repair of perforation of gastroduodenal ulcer has good clinical efficacy, and security is high, which is worthy in clinical application. Key words: Peptic Ulcer Perforation; Laparoscopy; Pneumoperitoneum, Artificial; Treatment Outcome