ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT NỘI SOI KHÂU Ổ LOÉT TÁ TRÀNG THỦNG TẠI BỆNH VIỆN E

Abstract

Introduction: Peptic ulcer disease (PUD) affects four million people worldwide annually and has an estimated lifetime prevalence of 5-10% in the general population. Although the global prevalence of PUD has dramatically decreased in the past decades, the incidence of its complications has remained constant. Perforation occurs in 2–10% of cases of PUD with a high risk of mortality, especially among the elderly. The mortality rate of PUD perforations is in the range 10–40%. World Society of Emergency Surgery (WSES) recommend performing surgery as soon as possible with perforated peptic ulcer patient, in which laparoscopic surgery has many advantages. The research aim to evaluated outcome of laparoscopic surgery repair peforated duodenal ulcer in E hospital.
Material and methods: All patients management by laparoscopic surgery for peforated duodenal ulcer in E hospital between 01/2018 and 12/ 2022 were included. Demographics, ulcer characteristics, operative procedure,outcomes and follow up were recorded. Results: A total of 104 patients were identified, the male 4 fold female, mean age=48,3±19,6. The most common season which disease onset is autumn and winter, accounting for 59.9%. The most common risk factor is alcohol use (52.6%) . There were 11 patients (11%) with a Boey score of 1 point, the rest all had 0 points. The postoperative complication rate is 5%. Conclusion: The laparoscopic approach is an effective method for management of perforated duodenal ulcer in selected cases with many advantages include less postoperative pain, reduce hospital length of stay, low morbidity and mortality.