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单次切口腹腔镜穿腹前椎切割术: 1,054 项手术和经验

Jingyi Jiao^1,2, Xiaojun Zhu², Chun Zhou³

¹Nantong University Medical School, Nantong, 226001, China.

Hernia : the journal of hernias and abdominal wall surgery

|May 28, 2023

概括

单次切口腹腔镜穿腹前膜整形术 (SIL-TAPP) 是治疗 inguinal hernias 的安全有效的手术. 这项研究表明,在大量患者队列中,SIL-TAPP的短期和长期结果可接受.

科学领域:

最少侵入性的手术
外科手术的结果
Hernia 修复椎间板裂的修复

背景情况:

单切口腹腔镜 inguinal hernia修复 (SIL-IHR) 报告的结果有限.
关于单次切口腹腔镜横腹腔前膜整形术 (SIL-TAPP) 的大型机构数据很少.

研究的目的:

评估SIL-TAPP的短期和长期成果.
评估SIL-TAPP在一个大型机构的安全性和可行性.

主要方法:

在966名患者 (2015年1月 - 2022年10月) 中对1,054个SIL-TAPP手术进行了回顾性分析.
通过使用常规腹腔镜仪器进行带切口的手术.
门诊和电话随访以收集结果;简单与复杂的比较.

主要成果:

对于878个单边和88个双边的 inguinal ,有1,054个手术.
低转化率 (0.1%),没有手术内出血或神经损伤.
平均手术时间:35.5分钟 (单边),51.9分钟 (双边);平均住院时间:1.3天.
随访时间中位数为44个月,复发率为0.1%,没有三叉.
复杂的手术时间较长 (p=0.025),但术后停留和并发症率相似.

结论:

SIL-TAPP证明了安全性和技术可行性.
可接受的短期和长期结果支持其在临床实践中的使用.

关键词:

沟的沟是什么意思椎间板膜整形手术 (Hernioplasty) 是一项手术.内 Hernia 是一个内.单切口腹腔镜手术是一次切口腹腔镜手术.这就是TAPP.

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