R.I. KHISAMUTDINOVA, Sh.V. TIMERBULATOV, R.B. SAGITOV

Bashkir State Medical University, 3 Lenin Str., Ufa, Russian Federation, 450008

Khisamutdinova R.I. ― postgraduate student of the Department of Surgery with the course in endoscopy of Institute for Vocational Education, tel. (347) 255-44-17, e-mail: regina.kh@bk.ru

Timerbulatov Sh.V. ― D. Med. Sc., Professor of the Department of Surgery with the course in endoscopy of Institute for Vocational Education, tel. +7-917-344-55-16, e-mail: timersh@yandex.ru

Sagitov R.B. ― D. Med. Sc., Associate Professor of the Department of Surgery with the course in endoscopy of Institute for Vocational Education, tel. (347) 255-44-17, e-mail: kaf-hirurg@yandex.ru

The article presents a prospective nonrandomized analysis of the results of treatment of 154 patients with perforated gastroduodenal ulcers. To identify the indicators for video-laparoscopic operations, we estimated the severity of the patients’ condition, the risk of operation (ASA, Boey classification), the size and condition of the perforated ulcer, the diffusion and period of peritonitis. We also estimated the technical complexity of all stage of the operation (from introduction of troakars and visualization up to drainage of abdominal cavity). With uncomplicated gastroduodenal ulcers, the technical complexity was beyond 16 pointa, with perforation with periulcer infiltration ― up to 20 points, with large perforations with peritonitis ― up to 35 points. The issues of indications for laparoscopic operations are discussed, including the account of the technical complexity at all stages of the operation.

Key words: perforated gastro- and duodenal ulcer, laparoscopic operation, indications, technical complexity of the stages of operation.

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