Comparative characteristic of treatment results in patients with perforative gastroduadenal ulcers

In this work we analyzed treatment results in 112 patients with perforative gastroduadenal ulcer. In control group on 60 (53,5%) patients was performed traditional suturing of pervorative ulcer. In base group on 52 (46,4%) patients was performed videoassistent suturing of perforative gastroduadenal ulcer from mini-site. On 28 patients was performed stomach resection, on 15 - vagotomy with pyloroplasty. Comperative analysis of long-term treatment results has shown, that simple ulcer suturing with futher anti-ucer treatment brings recurrence of disease in 8.9% and requires repeated operations in 5.3% of cases. After performance of vagotomy with stomach draining operation, postvagotomic complications were observed in 17.3% of cases. Comparison of long-term results based on Vasik has shown, that after performing combine serration of perforative gastroduadenal ulcer prevails excellent (64%) and good (25,8%) results. In group of patients, who suffered traditional serration prevails acceptable (41,6%), and some unsatisfying results. In cases of acute perforative gastroduadenal ulcer and with no sings of diffused peritonitis, is recommended serration of perforative hole by double-row suture, using miniinvasive technology: Laparoscopy and mini-site method.