TÌNH HÌNH VÀ KẾT QUẢ ĐIỀU TRỊ NHIỄM HELICOBACTER PYLORI TRÊN BỆNH NHÂN THỦNG DẠ DÀY – TÁ TRÀNG ĐƯỢC PHẪU THUẬT NỘI SOI KHÂU LỖ THỦNG TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2023-2025

Abstract

Background: Peptic ulcer perforation of the stomach and duodenum is a common surgical emergency, accounting for approximately 30% of gastrointestinal perforations. Laparoscopic surgery to close the perforation combined with clotest during surgery not only optimally resolves the consequences but also guides further treatment for the patient. Objective: To assess the outcomes of laparoscopic repair and Helicobacter pylori eradication in patient with perforated peptic ulcers at Can Tho General Hospital.  Materials and methods: A cross-sectional descriptive study of 70 patients with peritonitis due to gastric and duodenal ulcer perforation who underwent laparoscopic surgery to close the perforation at Can Tho General Hospital from August 2023 to March 2025. Results: Laparoscopic surgery to close the perforation was performed on 70 patients, including 61 male patients (87.14%) and 9 female patients (12.86%). The average age was 57.50 ± 13.93, the perforation was located in the stomach in 48 cases (68.57%) and in the duodenum in 22 cases (31.43%). Clotest results: not performed in 9/70 patients (12.86%), performed 62/70:  positive in 19 patients (31.14%), negative in 42 patients (68.85%). The average surgical time was 80 ± 25.67 minutes, ranging from 40 to 190 minutes. The average hospital stay was 6 ± 1.63 days. There were no complications, surgical errors, or postoperative mortality. Conclusion: Laparoscopic surgery to close gastric and duodenal ulcer perforations at Can Tho General Hospital is safe and effective. Controlling Helicobacter pylori infection during and after surgery plays an important role in preventing ulcer recurrence and improving patient outcomes.