Brief introduction of the application status, causes and countermeasures of laparoscopy repair of perforated peptic ulcer
10.3760/cma.j.cn115396-20210913-00361
- VernacularTitle:浅谈腹腔镜修补消化性溃疡穿孔的应用现状、成因与对策
- Author:
Chunyun WANG
1
;
Yi LIANG
;
Wenbiao XIE
Author Information
1. 南华大学附属第二医院胃肠外科，衡阳 421001
- Keywords:
Peptic ulcer perforation;
Laparoscopes;
Omentum;
Reoperation
- From:
International Journal of Surgery
2021;48(10):649-654
- CountryChina
- Language:Chinese
-
Abstract:
Perforated peptic ulcer is a common acute abdominal disease and requires emergency surgical treatment. Laparoscopic repair PPU was started early but progressed slowly. Compared with the popularization of minimally invasive concept of laparoscopic cholecystectomy, laparoscopic repair is still under the situation of disputation, low overall application rate and extremely unbalanced development in different regions and organizations. With the embodiment of minimally invasive advantages of laparoscopy and the technology progress, as well as the updating of surgeons′ ideas and the emergence of higher quality RCT studies, the proportion of PPU in laparoscopic treatment is gradually increasing. In order to make full use of the minimally invasive value and differential diagnostic value of laparoscopy, the laparoscopy-first approach can be adopted as a routine for appropriate PPU patients. The key to case selection and the physicians experience and proficiency. Laparoscopy should be actively adopted but should not be easily expanded. If necessary, the patients should be converted to open operation. If not the advantages of laparoscopy will be drowned.
