ĐẶC ĐIỂM HẬU PHẪU VÀ CÁC YẾU TỐ ẢNH HƯỞNG SAU PHẪU THUẬT NỘI SOI KHÂU LỖ THỦNG Ổ LOÉT DẠ DÀY - TÁ TRÀNG Ở BỆNH NHÂN CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Gastric and duodenal ulcer perforation is one of the severe and common complications of peptic ulcer disease. Objective: To describe the postoperative characteristics and factors influencing the outcomes of laparoscopic repair of gastric and duodenal ulcer perforation in elderly patients at Can Tho General Hospital. Materials and methods: A prospective descriptive study involving 49 patients aged 60 and above with gastric and duodenal ulcer perforations who underwent laparoscopic surgery at Can Tho General Hospital in 2019 - 2020. Results: Males accounted for the majority (77.6%). The average postoperative hospital stay was 9.08 ± 3.89 days. The average duration of postoperative pain was 3.33 ± 1.76 days. The average duration of postoperative fever was 2.78 ± 1.43 days. The mean time to first flatus was 2.65 ± 0.72 days, and the time to personal hygiene and mobility after surgery was 2.88 ± 1.30 days. The average time to remove the nasogastric tube and abdominal drain was 2.76 ± 1.54 days and 3.18 ± 1.54 days, respectively. Regarding complications, 6.1% of patients died and 10.1% experienced complications. The average postoperative treatment duration was shorter in the group of patients with localized peritonitis and those with a surgery duration ≤ 60 minutes (p<0.05). Conclusions: Laparoscopic repair of gastric and duodenal ulcer perforation, especially in elderly patients, is an effective and safe method, with a high success rate and low complication rate.