我院自1992年4月至今,共施行腹腔镜手术3000余例,其中经腹腔镜行十二指肠球部溃疡穿孔缝合修补术14例,均取得满意效果。报告如下。 1 临床资料 14例均为男性,年龄平均31岁(19～42岁)。溃疡病史0～20年(平均5年),其中有4例病人否认溃疡病史,均未经正规内科治疗。穿孔至手术时间2～12小时,平均4小时。14例病人均无全麻和手术禁忌,亦无溃疡病其它并发症。 2 手术方法手术在气管插管全麻下进行。患者取平卧位,头高脚低和向左倾斜各15～30度。于脐孔处以Verres针穿刺制气腹,压力达2kPa后穿刺置入10mm trocar作为观察孔。探查证实溃疡病穿孔后,分别于上腹正中稍 Our hospital since April 1992 to date, performed a total of more than 3000 cases of laparoscopic surgery, including laparoscopic duodenal ulcer perforation and suture repair in 14 cases, achieved satisfactory results. The report is as follows. A clinical data of 14 cases were male, mean age 31 years (19 to 42 years old). Ulcer history 0 to 20 years (mean 5 years), of which 4 patients denied the history of ulcer, were not formal medical treatment. Perforation to surgery time 2 to 12 hours, an average of 4 hours. All 14 patients had no general anesthesia and surgery taboo, nor other complications of ulcer disease. 2 surgical methods of surgery in general anesthesia endotracheal intubation. Patient supine position, head high and low and tilted to the left of the 15 ~ 30 degrees. Puncture the pneumoperitoneum with a Verres needle at the umbilicus, and puncture the 10 mm trocar as an observation hole at a pressure of 2 kPa. Exploration confirmed ulcer disease perforation, respectively, in the middle of the abdomen slightly