之前的激进前列腺切除术是否对腹腔镜全额外皮膜治疗来修复 inguinal hernia 造成不利影响? 一个倾向得分案例匹配研究研究
İsmail Ahmet Bilgin1, Nur Ramoglu2, Volkan Ozben3
1Department of General Surgery, School of Medicine, Acibadem Maslak Hospital, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye. isahbilgin@hotmail.com.
概括
在急性前列腺切除术 (RP) 后, laparoscopic全额外皮 (TEP) inguinal hernia修复是可行的和安全的. 虽然并发症率相似,但RP患者的TEP的转化率更高,手术时间更长.
科学领域:
- 最少侵入性的手术
- 手术瘤学手术瘤学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 腹腔镜全额外皮 (TEP) 修复广泛用于 inguinal .
- 在先前进行激进前列腺切除术 (RP) 的患者中,最佳的TEP技术仍在争论中.
- 本研究评估TPE可行性和安全性后RP.
研究的目的:
- 为了评估腹腔镜TEP inguinal hernia修复的可行性和安全性,在有过激进前列腺切除术 (RP) 病史的患者中.
- 为了比较接受RP和没有接受RP的患者之间的术后结果.
主要方法:
- 一个倾向性得分案例匹配分析,对162名男性患者进行了腹腔镜TEP修复 (2013-2024年).
- 根据年龄,BMI,ASA分数,部位和手术年份,患者与1:5匹配,比较RP和非RP组.
- 分析了术后结果,以评估两组之间的差异.
主要成果:
- 与非RP组 (135名患者) 相比,RP组 (27名患者) 的转换率显著更高 (11.1%转换为腹腔外科,14.8%转换为腹腔外科) 和更长的手术时间 (160分钟 vs. 94分钟).
- 术后并发症率,疼痛评分,停留时间,恢复日常生活,再入院,长期疼痛和复发率在各组之间相似.
- 在RP组中没有观察到复发,而非RP组的复发率为3.2%.
结论:
- 在有RP病史的患者中, laparoscopic TEP inguinal hernia修复是可行的和安全的.
- 该程序表明,与以前没有RP的患者相比,该程序显示了类似的发病概况.
- 然而,在RP后的患者中,TEP与手术时间的延长和转换到其他手术方法的更高率有关.
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