Study on the Effect of Laparoscopic Minimally Invasive and Open Repair of Gastroduodenal Perforation on Gastrointestinal Motility
SHE Heng-hai,WU Wei-dong
The People' s Hospital of Chizhou, Chizhou, Anhui 247100, China
Abstract:
Objective To investigate the effect of minimally invasive repair of gastroduodenal perforation and open repair and to observe the effect on gastrointestinal motility. Methods The stomach and duodenum were admitted to our hospital from June 2015 to June 2017with perforation in 72 cases as the research objects, which were randomly classi?ed into two groups: the observation group and the control group, 36 cases in each group. The laparoscopic minimally invasive repair surgery treatment was used in observation group, while the control group were treated with open repair surgery. The operation of the patients in two groups, the incidence of complications and the recovery of gastrointestinal motility after operation were evaluated and compared. Results The patients in the observation group were operated in various indexes including blood incision length, weight, operation time, ambulation time and hospitalization time, which were lower than those in control group. The cost of treatment is higher than that of the control group. There were signi?cant differences between the two groups (P<0.05). The observation group of patients with postoperative gastrointestinal motility index including borborygmus recovery time, anal exhaust time, gastrointestinal decompression and release time were lower than those in the control group. There were significant differences between the two groups (P<0.05). The incidence of postoperative complications in the observation group was 5.56% (2/36), while the rate of complication in the control group was 19.45% (7/36). There was signi?cant difference between the two groups (P<0.05). Conclusion Open repair and laparoscopic minimally invasive repair areboth effective treatment of gastroduodenal perforation. However, compared with open repair, laparoscopic surgery with minimally invasive repair has small trauma, quick recovery of postoperative gastrointestinal motility, fast and safety in operation. It is worthy of further clinical application.
