[经腹腔镜入路或Stoppa手术对双侧腹股沟疝进行假体治疗]
[Prosthetic treatment of bilateral inguinal hernias via laparoscopic approach or Stoppa procedure].
作者信息
Gainant A, Geballa R, Bouvier S, Cubertafond P, Mathonnet M
机构信息
Service de chirurgie digestive, endocrinienne et générale, CHRU Dupuytren, France.
出版信息
Ann Chir. 2000 Jul;125(6):560-5. doi: 10.1016/s0003-3944(00)00241-8.
AIM OF THE STUDY
The aim of this prospective non-randomized study was to compare Stoppa's technique to laparoscopic approach in totally extraperitoneal repair of bilateral inguinal hernia.
PATIENTS AND METHOD
From December 1996 to December 1998, 117 consecutive patients with 234 hernias underwent either Stoppa's technique (74 patients) or a totally extraperitoneal laparoscopic approach (43 patients). Patients were randomized in two groups according to the surgeon to whom they were referred. All patients were reviewed in December 1999.
RESULTS
There was no mortality. Complications occurred in 3% of patients after Stoppa's technique (group S) and in 4% of patients in the laparoscopic group (group L). The conversion rate was 7% (3 cases). Postoperative analgesia use, hospital stay, and duration of disability were significantly shorter in group L, the cost was lower, but the operating time was significantly longer than in group S. Recurrence rates were similar in the two groups: 2% in group S, 1.1% in group L.
CONCLUSION
The laparoscopic approach appears to be preferable to Stoppa's technique in the treatment of bilateral inguinal hernia.
研究目的
本前瞻性非随机研究旨在比较在双侧腹股沟疝完全腹膜外修补术中Stoppa技术与腹腔镜手术方法。
患者与方法
1996年12月至1998年12月，117例连续患者的234处疝接受了Stoppa技术（74例患者）或完全腹膜外腹腔镜手术方法（43例患者）。根据患者所转诊的外科医生将其随机分为两组。所有患者均于1999年12月接受复查。
结果
无死亡病例。Stoppa技术组（S组）3%的患者以及腹腔镜组（L组）4%的患者发生了并发症。中转率为7%（3例）。L组术后镇痛药物使用、住院时间和残疾持续时间显著更短，费用更低，但手术时间显著长于S组。两组复发率相似：S组为2%，L组为1.1%。
结论
在双侧腹股沟疝的治疗中，腹腔镜手术方法似乎优于Stoppa技术。
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