Experience of Application Videolaparoscopic Technologies in Complex Treatment of Patients with Perforated Ulcers of the Stomach and Duodenum


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Abstract

The purpose of the study To summarize the experience of application videolaparoscopic technology in patients with gastric ulcer and duodenal ulcer complicated by perforation. Materials and methods Analyzes the results of treatment of 712 patients with perforated ulcers of the stomach and duodenum. Patients were divided into three clinical groups. Two main groups were 257 patients who had been made suturing of perforated ulcers of the stomach or duodenum using videolaparoscopic technologies. The control group included 406 patients who underwent closure of perforated ulcers of the stomach or duodenum traditional laparotomy access. A separate group comprised 49 patients who had carried out the conversion. Results and their discussion Videolaparoscopic sanitation has certain advantages over laparotomic, as it provides an opportunity reorganization under the control of virtually any department of the abdomen, followed by her sighting drainage. A significant amount of time saved at the final stage of operation as suturing the abdominal wall puncture, unlike abdominal incision, requires in most cases, the minimum time-consuming. In carrying out the control endoscopy after 0.5-3.0 years in the control group, it was noted that 166 of them (65.6%) there is a relapse of peptic ulcer disease and in 192 (75.9%) have a pronounced scar deformity pyloro- duodenal area, 80.6% of the patients complained of recurrent epigastric pain. Conclusion Application videolaparoscopic technology in patients with perforated ulcers of the stomach or duodenum has significantly reduced the duration of inpatient treatment, speed of 4-5 terms rehabilitation, and in combination with a full conservative therapy significantly improved long-term outcomes.

About the authors

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Author for correspondence.
Email: author@vestnik-surgery.com
MD, Professor, Corresponding Member of the RANH, Head of the Department of General Surgery, Director of the Institute of Surgical Infection of Voronezh State Medical Academy named after N.N. Burdenko, Honored Inventor of the Russian Federation, Chairman of the Voronezh Branch of the Russian Society of Surgeons.

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
MD, Professor of the Department of General Surgery of Voronezh State Medical Academy named after N.N. Burdenko, Honored Doctor of the Russian Federation

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Surgeon of the Voronezh City Clinical Hospital N2 named after K.V. Fedyaevsky 4. Karpukhin G. - Surgeon of the Voronezh City Clinical Hospital N2 named after K.V. Fedyaevsky

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
Surgeon of the Voronezh City Clinical Hospital N2 named after K.V. Fedyaevsky

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Deputy Chief Doctor of the Voronezh City Clinical Hospital N10.

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Associate Professor of the Department of General Surgery of Voronezh State Medical Academy named after N.N. Burdenko

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Head of the Surgery Department of Voronezh State Medical Academy named after N.N. Burdenko

Voronezh State Medical Academy named after N.N. Burdenko, Voronezh, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Assistant Professor of the Department of General Surgery of Voronezh State Medical Academy named after N.N. Burdenko.

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