Comparison of the curative effect of laparoscopy and laparotomy in surgical repair of gastric perforation / 中国基层医药

ABSTRACT

Objective To compare the the curative effect of laparoscopy and open operation in surgical repair of gastric perforation.Methods The clinical data of 68 patients with gastric perforation were analyzed.According to different operation method,the patients were diviede into laparoscopic group and laparotomy group,34 cases in each group.The patients in the two groups were given laparoscopy or laparotomy,respectively.ResultsThe operation time between the two groups had no statistically significant difference (P＞0.05).The intraoperative blood loss,postoperative exhaust time,length of hospital stay in the laparoscopic group were (24.9±7.3)mL,(31.9±10.5)h,(7.4±2.9)d,respectively,which were significantly less than those in the laparotomy group,the differences were statistically significant (t=9.953,5.226,7.441,all P＜0.05).The incidence rate of postoperative complications of the laparotomy group was 32.35％,which was significantly higher than 8.82％ of the laparoscopic group,the difference was statistically significant(χ2=5.757,P=0.016).Conclusion The curative effect of laparoscopic downward gastric perforation repair is superior to laparotomy,patients have rapid recovery,less complications,it is worthy of clinical popularization and application.