laparoscopic inguinal hernia修复后罕见但重要的胃肠道并发症:一个单中心的经验
Bo Yang1, Chang-Hu Xie1, Yu-Xing Lv1
1Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, No. 99, Longcheng Street, Xiaodian District, Taiyuan, 030032, Shanxi Province, China.
Scientific reports
|January 20, 2025
概括
对于椎间的腹前皮质贴片 (TAPP) 和全额外皮质贴片 (TEP) 有相似的并发症率. 胃肠道并发症虽然很少见,但很严重,并且与手术仪器使用有关.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- Hernia 修复 椎间板裂的修复
背景情况:
- 腹腔前皮质补丁整形 (TAPP) 和全额外皮质补丁整形 (TEP) 是标准的腹腔镜 inguinal Hernia 修复技术.
- 无论是TAPP还是TEP手术都会带来并发症的风险,包括严重的胃肠道问题.
研究的目的:
- 统计分析和比较TAPP和TEP之间的胃肠道并发症的发生率和严重程度,用于成人 inguinal hernias.
- 在接受TAPP或TEP的患者中调查胃肠道并发症的原因和治疗结果.
主要方法:
- 对1034名成年 inguinal 患者 (2018-2022) 进行了回顾性分析.
- 在TAPP (783名患者) 和TEP (251名患者) 组之间比较了侧重于胃肠道事件的并发症率.
- 对胃肠道并发症进行了个别分析,包括原因和管理.
主要成果:
- 整体并发症率为TAPP的4.72%和TEP的3.58%,没有统计学上显著的差异 (p=0.446).
- 胃肠道并发症发生在5名患者中 (0.48%),所有患者都被归类为III级或更高 (Clavien-Dindo),需要重新手术.
- 在TEP后发生了一次胃穿孔,在TAPP手术期间发生了四次胃肠道并发症.
结论:
- 腹腔镜 inguinal hernia 修复后的胃肠道并发症虽然很少见,但很严重,需要重新手术.
- 错误的手术仪器处理是主要原因,突出了手术团队警的必要性.
- 这些并发症的非手术治疗可能会导致不良结果.
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