ENDOVIDEOSURGERY IN THE TREATMENT OF PERFORATIVE GASTRODUODENAL ULCER

Abstract

In the world of peptic ulcers, 3 to 15% of the total adult population suffers from this illness. Ulcer perforation is the severe complication. The frequency of perforated gastroduodenal ulcers (PGDU) is 7-15% of the total number of patients with this condition. Mortality varies from 3.3% to 17.5%. Currently, the most common operation is suturing the perforated cavity with subsequent antiulcer therapy. In recent years, the laparoscopic method for suturing has become widely used, which has several advantages over traditional operations. The aim of this study is to improve the results of surgical treatment of patients with PGDU. The work is based on retrospective analysis of case studies of 168 patients with perforative ulcers who were treated at the Department of Faculty Surgery. prof. A. A. Rusanov. The diagnosis was established using the generally accepted comprehensive diagnostic program. Esophagogastroduodenoscopy (EGDS) and diagnostic laparoscopy were used in the diagnostic process of evaluation. All patients were divided into two groups. The main group included 61 (36.3%) patients who underwent endoscopic surgical intervention, control - 107 (63.7%) patients, after traditional suturing of perforated ulcers. Conversion to laparotomy was required in 7 (4.2%) patients - there were no fatal outcomes after laparoscopic suturing. Mortality in the control group was 10.1% (17 patients). The results showed that the laparoscopic method of suturing is accompanied by a less pronounced pain syndrome, activation of the patient, and a decrease in the number of postoperative complications, mortality, and length of hospitalization.