腹腔镜经腹疝修补术治疗嵌顿疝：可行吗？一项前瞻性研究的结果
Laparoscopic transperitoneal hernia repair of incarcerated hernias: Is it feasible? Results of a prospective study.
作者信息
Leibl B J, Schmedt C G, Kraft K, Kraft B, Bittner R
机构信息
Department of General and Visceral Surgery, Marienhospital, Böheimstr. Böheimstrasse 37, 70199 Stuttgart, Germany.
出版信息
Surg Endosc. 2001 Oct;15(10):1179-83. doi: 10.1007/s004640090073. Epub 2001 Aug 16.
BACKGROUND
Laparoscopic transperitoneal hernia repair (TAPP) has proved its efficiency in elective surgery. However, TAPP results with incarcerated hernias still are unknown.
METHODS
Data from a prospective study were evaluated with regard to TAPP repair for both chronically and acutely incarcerated hernias.
RESULTS
During a 6-year period, 220 incarcerated hernias were repaired (194 via TAPP). The median operation time for TAPP was 55 min. An accompanying resection therapy became necessary for only four of the emergency cases (11.1%) and two of the chronically incarcerated cases (1.3%) in the TAPP group. Postoperative morbidity was 2.8% in the emergency group and 3.8% in the chronically incarcerated group, which does not differ from the rate for TAPP used on reducible hernias. One recurrence was found 26 months after TAPP reconstruction (0.5%).
CONCLUSION
Laparoscopic inguinal hernia repair (TAPP) represents an efficient therapeutic concept in the treatment of both chronically and acutely incarcerated inguinal hernias.
背景
腹腔镜经腹腹膜前疝修补术（TAPP）已在择期手术中证明了其有效性。然而，TAPP治疗嵌顿疝的结果仍不明确。
方法
对一项前瞻性研究中TAPP修复慢性和急性嵌顿疝的数据进行评估。
结果
在6年期间，共修复了220例嵌顿疝（194例通过TAPP修复）。TAPP的中位手术时间为55分钟。TAPP组中，仅4例急诊病例（11.1%）和2例慢性嵌顿病例（1.3%）需要进行伴随的切除治疗。急诊组术后发病率为2.8%，慢性嵌顿组为3.8%，与TAPP用于可复性疝的发病率无差异。TAPP重建术后26个月发现1例复发（0.5%）。
结论
腹腔镜腹股沟疝修补术（TAPP）是治疗慢性和急性嵌顿性腹股沟疝的一种有效治疗方法。
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