LeBlanc K A, Booth W V, Whitaker J M, Bellanger D E
Surgical Specialty Group, Inc., Baton Rouge, Louisiana 70808, USA.
Am J Surg. 2000 Sep;180(3):193-7. doi: 10.1016/s0002-9610(00)00443-8.
Laparoscopic incisional and ventral herniorrhaphy, a procedure first described 7 years ago, continues to gain acceptance. A series of about 100 patients who underwent the operation is described. Follow-up in this series was longer (mean 51 months) than that in previously reported series.
A retrospective review was conducted of operative and follow-up records of a series of patients scheduled to undergo laparoscopic incisional or ventral herniorrhaphy between 1992 and 1997.
Laparoscopic repair was completed in 96 of 100 patients. The complication rate was 14%, with seromas accounting for half of the postoperative problems. Mean hospital stay was 1 day. The late recurrence rate was 9%, with 4 of the 9 recurrences developing >2 years postoperatively.
Laparoscopic incisional and ventral herniorrhaphy is safe and effective. Most patients require hospitalization for </=24 hours. Use of an adequately sized prosthesis secured with more than one method is essential. Patients should be observed >/=3 years.
腹腔镜切口疝和腹疝修补术，这一7年前首次被描述的手术，持续获得认可。本文描述了一系列约100例行该手术的患者。本系列的随访时间（平均51个月）比先前报道的系列更长。
对1992年至1997年间计划行腹腔镜切口疝或腹疝修补术的一系列患者的手术及随访记录进行回顾性分析。
100例患者中有96例完成了腹腔镜修补。并发症发生率为14% ，血清肿占术后问题的一半。平均住院时间为1天。远期复发率为9% ，9例复发中有4例在术后2年以上出现。
腹腔镜切口疝和腹疝修补术安全有效。大多数患者需要住院时间≤24小时。使用尺寸合适的假体并采用多种方法固定至关重要。应观察患者≥3年时间。
