Experience of laparoscopic gastric ulcer perforation repair combined with Helicobacter pylori cure

VernacularTitle:腹腔镜溃疡穿孔修补术联合幽门螺杆菌根除治疗胃十二指肠溃疡穿孔
Author: Qiong DING ; Mingfeng LU ; Wubin YU ; Ming GAO
Publication Type:Journal Article
Keywords: Laparoscopy; Stomach ulcer; Duodenal ulcer; Peptic ulcer perforation; Helicobacter pylori
From: Chinese Journal of Primary Medicine and Pharmacy 2015;(16):2447-2449,2450
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical efficacy of laparoscopic gastric ulcer perforation repair com-bined with Helicobacter pylori(Hp)cure.Methods Laparoscopic repair was used in the treatment of gastric ulcer perforation in 45 cases,and 42 cases of postoperative infection were combined Hp eradication therapy.Results The average operative time was 52.5min (36 -83min),mean blood 17.2mL(8 -45mL)in the 45 patients,with no sig-nificant intraoperative complications.The mean 4.5d (3 -8d)normally discharged after an average follow -up of 25 months (18 to 36 months)without significant complications and recurrent perforation.In 42 cases infected with Hp,cure rate of 97.6%,inefficiency of 3.4%,2 -year recurrence rate of 4.9%.Conclusion Laparoscopic gastric ulcer perforation is a minimally invasive,safe and effective surgical method.The surgery is simple,minimal trauma, less pain,faster recovery and fewer complications,Hp infected radical surgery combined with Hp eradication has good efficacy,less recurrence and important clinical significance and value.