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首页> 外文期刊>World Journal of Surgery: Official Journal of the Societe Internationale de Chirurgie, Collegium Internationale Chirurgiae Digestivae, and of the International Association of Endocrine Surgeons >Single-Port Laparoscopic Repair of Perforated Duodenal Ulcers
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Single-Port Laparoscopic Repair of Perforated Duodenal Ulcers

机译：穿孔十二指肠溃疡的单端口腹腔镜修复

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Background Laparoscopic single-port surgery has widely been introduced for the treatment of various abdominal conditions. But controversies still exist regarding its potential advantages and risks, especially for emergency surgery. The aim of this study was to evaluate the results of a single-port laparoscopic repair using straight laparoscopic instruments for the treatment of perforated duodenal ulcers. Methods A prospective consecutive case series was conducted including all patients with a perforated duodenal ulcer who underwent a laparoscopic single-port repair at a single institution from January 2012 to June 2018. The operation was performed through a single port using conventional straight laparoscopic instruments and intra-corporeal knot tying techniques. Results Out of 75 patients, simple closure of the perforation without omental patch was accomplished in 96% of cases. Conversion to an open operation was required in one patient (1.3%) due to a posterior duodenal perforation, and additional trocar placement was needed in another patient (1.3%). The mean incision length was 2.0 +/- 0.2 cm. The mean operation time was 63.0 +/- 26.6 min. Meantime a nasogastric tube remained in place was 2.9 +/- 0.8 days. Mean duration of analgesic use was 2.8 +/- 0.8 days. The rate of postoperative complications was 2.7%, including two patients with wound infections. There were no instances of intestinal leak or abscess. The postoperative hospital stay was 5.7 +/- 1.2 days. Conclusion Laparoscopic single-port repair using conventional straight laparoscopic instruments with intra-corporeal knot tying technique was safe and feasible for patients with perforated duodenal ulcers with low risk factors. This method offers results comparable to those expected with the standard multiport laparoscopic approach with the addition of improved cosmetic outcomes.
机译：背景技术腹腔镜单端口手术被广泛引入用于治疗各种腹部条件。但仍然存在关于其潜在的优势和风险，特别是对于急诊手术的争议。本研究的目的是评估单端口腹腔镜修复的结果，使用直腹腔镜仪器治疗穿孔的十二指肠溃疡。方法采用预期连续案例系列，包括从2012年1月到2018年1月到2018年6月在一个机构进行了穿孔十二指肠溃疡的所有患者。通过使用常规的直程腹腔镜仪器和内部通过单个端口进行操作 - 复杂的结绑在技巧中。结果为75名患者，在96％的病例中完成了没有题斑的穿孔的简单闭合。由于后十二指肠穿孔，在一个患者（1.3％）中需要转化为开放操作，并且在另一名患者中需要额外的套管针（1.3％）。平均切口长度为2.0 +/- 0.2厘米。平均操作时间为63.0 +/- 26.6分钟。同时，纳西奥斯特里管仍然存在2.9 +/- 0.8天。镇痛使用的平均持续时间为2.8 +/- 0.8天。术后并发症的速度为2.7％，包括两名伤口感染患者。没有肠道泄漏或脓肿的情况。术后住院住宿是5.7 +/- 1.2天。结论采用常规直程腹腔镜仪器具有载体内结的腹腔镜单端口修复技术对于具有低风险因素的穿孔十二指肠溃疡的患者是安全可行的。该方法提供了与标准多端口腹腔镜方法的预期相当的结果，并增加了改进的化妆品结果。

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