[Endovideosurgical technology in diagnosis and treatment of perforating gastroduodenal ulcers]

The authors have analyzed their experiences with using endovideosurgical technologies in surgical treatment of 67 patients with perforation of gastroduodenal ulcers. The diagnosis was made in all the patients using laparoscopy, in 56.7% esophagogastroduodenoscopy was used. In 91% of the cases ulcers were localized on the anterior wall of the duodenum bulb, in 9%--in the area of the pylorus. The diameter of the perforation orifice could be from 1 to 7 cm. In 35 (52.2%) patients the perforation defect was sutured with intracorporeal formation of the nodes. The intracorporeal nodes could not give complete closure of perforations with the diameter of more than 1 cm. So, in 18 patients (26.7%) closure of the defect was made using extracorporeal node after Roeder. The zone of suturing was additionally peritonized with an omentum strand. Ulcer could not be sutured in one patient, which required conversion. All patients recovered. The duration of staying at hospital was from 3 to 5 days.