Pring Chris M, Tran Viet, O'Rourke Nick, Martin Ian J
Wesley Hospital, Brisbane, Australia.
ANZ J Surg. 2008 Oct;78(10):903-6. doi: 10.1111/j.1445-2197.2008.04689.x.
Laparoscopic and open techniques are both recognized treatment options for ventral hernias. We conducted a prospective randomized trial of both methods, to assess hernia recurrence, postoperative recovery and complications. Fifty-eight patients with ventral hernias were enrolled into the trial between August 2003 and December 2005. Of these, 31 underwent laparoscopic repair and 27 underwent open repair. Clinical parameters were documented on all patients during a median follow-up period of 27.5 months. The demographics of the two groups were similar. There was one recurrence in each of the laparoscopic and open groups. There was an equivalent rate of operative time, length of stay, postoperative pain scores, return to normal activities, wound infection and seroma formation between the two groups. Laparoscopic and open ventral hernia repair are comparable and offer low recurrence rates.
腹腔镜手术和开放手术都是公认的治疗腹疝的方法。我们对这两种方法进行了一项前瞻性随机试验，以评估疝复发、术后恢复情况及并发症。2003年8月至2005年12月期间，58例腹疝患者被纳入该试验。其中，31例行腹腔镜修补术，27例行开放修补术。在平均27.5个月的随访期内，记录了所有患者的临床参数。两组的人口统计学特征相似。腹腔镜组和开放组各有1例复发。两组在手术时间、住院时间、术后疼痛评分、恢复正常活动情况、伤口感染及血清肿形成方面的发生率相当。腹腔镜腹疝修补术和开放腹疝修补术效果相当，且复发率低。
