지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.4
- 발행연도
- 2021.4
- 수록면
- 228 - 234 (7page)
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Purpose: Primary repair is the standard surgical method for treating duodenal ulcer perforations, with very good results usually anticipated because of the simplicity of the associated surgical techniques. Therefore, this study aimed to analyze the risk factors that affect laparoscopic primary repair outcomes for duodenal ulcer perforation.
Methods: Between June 2010 and June 2020, 124 patients who underwent laparoscopic primary repair for duodenal ulcer perforations were reviewed. Early surgical outcomes were evaluated and risk factors for postoperative complications were assessed.
Results: All surgeries were performed laparoscopically without open conversion. Multivariate analysis showed that the elderly (over 70 years), and perforations that needed more than 2 stitches for closure were risk factors for overall postoperative complications. Perforations that needed more than 2 stitches and perforations on the superior side of the duodenum were major risk factors for severe postoperative complications. Severe postoperative complications occurred in 6 of the patients, and 1 of them died of multiorgan failure.
Conclusion: Based on our results, we suggest that laparoscopic primary repair can be safely performed in duodenal ulcer perforation. However, more careful surgery and postoperative care are needed to improve the surgical outcomes of patients who need more than 2 stitches to close their perforation or who have perforations on the superior side of the duodenum.
Methods: Between June 2010 and June 2020, 124 patients who underwent laparoscopic primary repair for duodenal ulcer perforations were reviewed. Early surgical outcomes were evaluated and risk factors for postoperative complications were assessed.
Results: All surgeries were performed laparoscopically without open conversion. Multivariate analysis showed that the elderly (over 70 years), and perforations that needed more than 2 stitches for closure were risk factors for overall postoperative complications. Perforations that needed more than 2 stitches and perforations on the superior side of the duodenum were major risk factors for severe postoperative complications. Severe postoperative complications occurred in 6 of the patients, and 1 of them died of multiorgan failure.
Conclusion: Based on our results, we suggest that laparoscopic primary repair can be safely performed in duodenal ulcer perforation. However, more careful surgery and postoperative care are needed to improve the surgical outcomes of patients who need more than 2 stitches to close their perforation or who have perforations on the superior side of the duodenum.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
Bertleff MJ / 2010 / Perforated peptic ulcer disease: a review of history and treatment / Dig Surg 27:161~169
Møller MH / 2009 / Risk factors in patients surgically treated for peptic ulcer perforation / Scand J Gastroenterol 44:145~152
Boey J / 1987 / Risk stratification in perforated duodenal ulcers: a prospective validation of predictive factors / Ann Surg 205:22~26
Townsend CM Jr / 2017 / Sabiston textbook of surgery: the biological basis of modern surgical practice / Elsevier Saunders
Siu WT / 2002 / Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial / Ann Surg 235:313~319
Møller MH / 2009 / Risk factors in patients surgically treated for peptic ulcer perforation / Scand J Gastroenterol 44:145~152
Boey J / 1987 / Risk stratification in perforated duodenal ulcers: a prospective validation of predictive factors / Ann Surg 205:22~26
Townsend CM Jr / 2017 / Sabiston textbook of surgery: the biological basis of modern surgical practice / Elsevier Saunders
Siu WT / 2002 / Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial / Ann Surg 235:313~319
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UCI(KEPA) : I410-ECN-0101-2021-514-001697948