ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI KHÂU THỦNG Ổ LOÉT DẠ DÀY - TÁ TRÀNG BẰNG CHỈ CÓ GAI Ở NGƯỜI CAO TUỔI

Abstract

Background: Gastroduodenal perforation is a common surgical emergency in clinical practice. Gastroduodenal ulcer perforation ranks 2-4th among surgical emergencies. Laparoscopic repair for peptic perforation has many advantages, helping patients recover quickly, however, laparoscopic suturing is often time-consuming and requires a surgeon with a lot of experience. Barbed suture used in laparoscopic surgery have brought many benefits, especially simplifying the operations and shortening the surgical time. Objectives: To investigate the clinical characteristics and to assess the early outcomes of laparoscopic surgery to suture perforated gastric and duodenal ulcers with barbed sutures. Materials and methods: A non-controlled clinical intervention study on 35 patients undergoing laparoscopic surgery to suture perforated gastric and duodenal ulcers with barbed sutures at Can Tho Central General Hospital from April 2024 to January 2025. Results: Mean age was 72.8±9.7 years. Male/Female ratio: 2.1/1. The patient's history of gastritis was 14.3%; history of previous gastric perforation surgery was 2.9%. The subphrenic free air sign was recorded in 62.9% of cases; ultrasound showed free air in 42.9% of cases. The mean surgical time was 79.06±26.5 minutes. The mean perforation size was 13.3±7 mm. The mean postoperative time was 6.2±2.0 days. The mean postoperative oral feeding time was 1.9±0.7 days; the mean postoperative mobility and walking time was 2.74±0.72 days. Postoperative complications were recorded in 20% with 2 cases of pneumonia treated medically and 5 deaths due to ongoing infection. Conclusion: Laparoscopic surgery to suture perforated gastric and duodenal ulcers with barbed suture is a safe treatment method, initially bringing some positive results.