KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI KHÂU LỖ THỦNG LOÉT DẠ DÀY-TÁ TRÀNG TẠI BỆNH VIỆN ĐA KHOA TỈNH BÌNH DƯƠNG

Abstract

Objectives: To assess early results of laparoscopic surgery for perforated peptic ulcer. Subjects and methods: A cross-sectional study on 97 peritonitis patients with perforated peptic ulcer. Patients undergoing a laparoscopic repair were attempted at Binh Duong Province General Hospital between January 2021 and March 2022. Results: Laparoscopic perforated peptic ulcer closure was carried out on 97 cases, including 83 males (85.6%) and 14 females (14.4%). The average age of patients was 41.25 ± 14.66 (range: 15 - 72) years. The gastric ulcer perforation accounted for 42.3%, the duodenal ulcer perforation made up 57.7%, the softened ulcer edges accounted for 99.0%, the diameter of perforations ≤ 5 mm accounted for 93.8%. Laparoscopic sutures were complete in 100% of patients, non-conversion. The mean operation time was 64.17 ± 16.87 (range 40 - 120) minutes. There is not any early surgery complication or mortality. The morbidity rate was 5.2% (Clavien - Dindo classification II - IV). The surgical treatment results (good, fair, average) were 89.7%, 7.2%, and 3.1%, respectively, and related to sex and the risk factors such as ASA classification, Boey score, and Mannheim peritoneal index. Conclusion: Laparoscopic perforated peptic ulcer repair carried out at Binh Duong Province General Hospital was safe, feasible, and relative to sex, ASA classification, Boey score, and Mannheim peritoneal index.