隐形应在TAPP中进行修复吗?
Masayoshi Hirohara1, Hiroyoshi Tsuchida2, Shuichiro Uemura2
1Division of Surgery, Hachioji Digestive Disease Hospital, 177-3 Yorozucho, Hachioji, Tokyo, 192-0903, Japan. mozck551@gmail.com.
Surgical endoscopy
|September 20, 2025
概括
在跨腹前 (TAPP) 修复过程中治疗隐性是安全有效的. 这种方法在隐性侧显示出较低的并发症率,支持其用于预防未来的症状问题.
科学领域:
- laparoscopic 手术 拉巴洛斯科普手术是用眼镜进行的手术.
- Hernia 修复 Hernia 修复 的方法
- 外科手术的结果
背景情况:
- 隐形是无症状的,在手术期间发现的腹腔镜 inguinal 修复的高达22%.
- 治疗可能会预防未来的症状,但并发症风险尚不清楚,特别是TAPP方法.
研究的目的:
- 评估在腹前 (TAPP) 修复过程中治疗隐性的安全性和结果.
- 为了比较接受双边修复 (包括隐性) 和单边修复的患者之间的并发症率.
主要方法:
- 对350名接受选择性TAPP修复的患者进行了回顾性分析.
- 分为一个隐藏的组 (双边修复,n=51) 和一个非隐藏的组 (单边修复,n=299).
- 评估术后并发症,包括血清瘤,手术部位感染和急性术后 inguinal 疼痛 (APIP).
主要成果:
- 在各组之间,整体并发症率相似 (13.7%对16.4%,p=0.84).
- 隐性侧 (血清瘤和APIP) 的并发症明显低于症状侧 (2.0%对12.3%,p=0.03).
- 血清瘤的发病率低,在隐性侧没有观察到APIP.
结论:
- 在TAPP修复期间治疗隐性的隐性侧的并发症率较低.
- 益处与风险的平衡有利于治疗隐性,伤害所需的数量很低 (51),而治疗所需的数量很高 (4.6).
- 研究结果支持在TAPP程序中治疗隐性的安全性和合理性.
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