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Published: 2025-09-25
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DOI: https://doi.org/10.52163/yhc.v66iCD13.3221
Issue
Vol. 66 No. CĐ13- HNKH Gây mê Hồi sức
Section
Articles
How to Cite
Long, H. T., Khiêm, N. M., Trường, L. D., & Thiên, L. T. (2025). 58. CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH PERFORATED GASTRIC ULCERS UNDERGOING LAPAROSCOPIC REPAIR AT NGUYEN TRI PHUONG HOSPITAL. Vietnam Journal of Community Medicine, 66(CĐ13- HNKH Gây mê Hồi sức). https://doi.org/10.52163/yhc.v66iCD13.3221

58. CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH PERFORATED GASTRIC ULCERS UNDERGOING LAPAROSCOPIC REPAIR AT NGUYEN TRI PHUONG HOSPITAL

Huynh Thanh Long1,2, Nguyen Manh Khiem1, Luong Duy Truong3, Le Trong Thien4
1 Nguyen Tri Phuong Hospital
2 Nguyen Tat Thanh University
3 Pham Ngoc Thach University of Medicine
4 Hong Bang International University

Main Article Content

Abstract

Objective: This study aimed to describe the clinical and paraclinical characteristics of patients undergoing laparoscopic perforation closure for gastric perforation at Nguyen Tri Phuong Hospital.

Materials and Methods: A retrospective case series study was conducted, collecting data from 62 patients with gastric perforation admitted between January and December 2018. Clinical and paraclinical characteristics were analyzed using Stata statistical software.


Results: Among 62 patients, the mean age was 50.0 ± 16.6 years, with males predominating (79%). Common presenting symptoms included abdominal pain (100%), vomiting (53.2%), abdominal guarding (66.1%), and board-like rigidity (43.5%). Erect abdominal X-ray detected subdiaphragmatic free air in 51.6% of cases, while CT scan revealed intra-abdominal fluid in 54.8% and free air in 53.2%. The median perforation size was 6.3 mm, with the duodenal bulb being the most common perforation site (52.9%).


Conclusion: The findings indicate that laparoscopic surgery is an effective intervention for gastric perforation, particularly in patients with small perforations. However, careful assessment of perforation size and inflammation severity is crucial to minimize adverse outcomes. A multimodal approach to diagnosis and treatment plays a key role in optimizing patient outcomes.

Article Details

Keywords

laparoscopic surgery, gastric perforation, clinical characteristics, paraclinical characteristics

References

[1] Stettler GR, Follette CJ, Avery MD. Surgical Management of Perforated Peptic Ulcers. Current Surgery Reports. 2025;13(1):9.
[2] Tartaglia D, Strambi S, Coccolini F, et al. Laparoscopic versus open repair of perforated peptic ulcers: analysis of outcomes and identification of predictive factors of conversion. Updates in surgery. 2023;75(3):649-657.
[3] Wilhelmsen M, Møller MH, Rosenstock S. Surgical complications after open and laparoscopic surgery for perforated peptic ulcer in a nationwide cohort. The British journal of surgery. 2015;102(4):382-7.
[4] Leeman MF, Skouras C, Paterson-Brown S. The management of perforated gastric ulcers. International journal of surgery (London, England). 2013;11(4):322-4.
[5] Quyết NC, Học TH, Long VĐ, Anh H, Sơn TQ. Kết quả mổ mở điều trị thủng ổ loét dạ dày tá tràng có sử dụng dây chằng tròn tại Bệnh viện Bạch Mai. Tạp chí Y học Việt Nam. 2023;530(1B):
[6] Sigmon DF, Tuma F, Kamel BG, Cassano S. Gastric Perforation. 2025.
[7] Cường LH, Ngãi NV, Bé PV, Haṇh LĐ, Lợi PH. Kết quả sớm điều trị thủng loét dạ dày-tá tràng bằng phẫu thuật nội soi tại Bệnh viện Đa khoa Trung tâm An Giang. Kỷ yếu Hội nghị Khoa học Bệnh viện An Giang. 2012;10(48-56).
[8] Thanh NV, Trung LV, Tuấn LV, Bá HT. Đánh giá kết quả phẫu thuật khâu thủng dạ dày - tá tràng do loét bằng chỉ có gai. Tạp chí Y Dược Thực hành 175. 2023;32):9.