EXPERIENCE OF USING VIDEOLAPAROSCOPIC TECHNOLOGIES IN PERFORATED ULCERS

Abstract

We have experience in laparoscopic suturing of perforated stomach and duodenal ulcers in 84 patients. All patients were performed gastroscopy and diagnostic laparoscopy, which allows you to clarify the localization, the size of the perforation, the severity of perifocal inflammatory infiltration, prevalence of peritonitis and the nature of the exudate in the abdominal cavity. Indications for performing laparoscopic suturing perforation are: localization of the ulcer in an accessible place for suturing, duration of perforation no more than 12 h with development of local unrestricted or diffuse serous-fibrinous peritonitis; a brief history of ulcerative anamnesis or lack of it (“mute” ulcers); the size of the perforation is not more than 5 mm in the duodenum and 10 mm in the stomach; lack of other complications of ulcer. The average length of stay in the hospital was 5.5 days. Complications in the form of inconsistency were observed in 1 patient (1.19%), he re- suture a perforation from the laparotomy access; on the 14th day of the postoperative period, also one patient was diagnosed with an intrahepatic abscess, which was drained under the ultrasound. The laparoscopic method of suturing can be considered a surgery of choice in case of perforated ulcers of the stomach and duodenum and has a number of advantages over an open operation, allows to avoid complications associated with laparotomy, reduce the length the patient hospital staying, reducethe rehabilitation period while observing the indications and contraindications to its implementation.Conclusions: Laparoscopic surgeries are the method of choice in elective surgery elderly patients with colon cance