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[Laparoscopy for perforated gastroduodenal ulcers]
V T Samsonov1, A S Ermolov2, P A Yartsev2
1Sklifosovsky Research Institute for Emergency Care of Moscow Healthcare Department, Moscow, Russia.
Aim:
To assess laparoscopy in diagnosis and treatment of patients with perforated gastroduodenal ulcers.
Material And Methods:
There were 273 patients with perforated gastroduodenal ulcers who underwent laparoscopy at the Sklifosovsky Research Institute for Emergency Care in 2010-2016. Sample included patients with clinical and instrumental diagnosis of perforated gastroduodenal ulcers, suspected hollow organ perforation including perforated ulcer and other acute abdominal diseases followed by perforated ulcer.
Results:
Laparoscopy confirmed diagnosis of perforated gastroduodenal ulcer in 82.5% of patients with clear preoperative diagnosis and in 54.2% of patients with suspected perforated ulcer. Video-assisted closure of the ulcer is possible in 81.7% of patients. Any endoscopic procedure should be started from diagnostic measures. Diagnostic laparoscopy followed by curative laparotomy in 14.6% of patients was able to clarify diagnosis, suture technically difficult perforated ulcer and prevent possible complications.
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