• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

阑尾切除术后腹股沟疝修补采用右侧完全腹膜外手术的可行性：一项前瞻性队列研究。

Feasibility of right-sided total extraperitoneal procedure for inguinal hernia repair after appendectomy: a prospective cohort study.

作者信息

Elshof J W M, Keus F, Burgmans J P J, Clevers G J, Davids P H P, van Dalen T

机构信息

Department of Surgery, Diakonessenhuis, Bosboomstraat 1, 3582, KE, Utrecht, The Netherlands.

出版信息

Surg Endosc. 2009 Aug;23(8):1754-8. doi: 10.1007/s00464-008-0187-3. Epub 2008 Dec 5.

DOI:10.1007/s00464-008-0187-3
PMID:19057963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2710495/
Abstract

BACKGROUND

Totally extraperitoneal (TEP) endoscopic hernia surgery is increasingly popular since it is associated with little postoperative pain and with early return to work. Previous appendectomy may preclude preperitoneal dissection in patients with right-sided hernias. The feasibility of TEP surgery in these patients was the subject of the present study.

METHODS

Between January 2005 and February 2007 all consecutive patients undergoing TEP surgery were included in a prospective cohort study. The study group consisted of patients with right-sided and bilateral hernias. Operative times, conversions, complication rates, and return to daily activities were recorded. Patients were divided into two groups according to previous appendectomy.

RESULTS

A total of 462 patients with right-sided hernias underwent TEP surgery: 421 patients without previous abdominal surgery (group 1) and 41 patients with previous appendectomy (group 2). The conversion rate was significantly higher in group 2: four patients (10%) were converted to open Lichtenstein repair versus five (1%) in group 1 (p = 0.005). However, we found no significant differences in complication rate, operative time, and return to daily activities.

CONCLUSIONS

A right-sided (or bilateral) TEP procedure may be performed safely in patients after previous appendectomy. Despite a higher conversion rate, the vast majority of patients can be operated endoscopically.

摘要

背景

完全腹膜外（TEP）内镜疝修补术因术后疼痛轻且能早期恢复工作而越来越受欢迎。既往阑尾切除术可能会妨碍右侧疝患者的腹膜前分离。本研究的主题是TEP手术在这些患者中的可行性。

方法

2005年1月至2007年2月期间，所有连续接受TEP手术的患者均纳入一项前瞻性队列研究。研究组包括右侧和双侧疝患者。记录手术时间、中转率、并发症发生率及恢复日常活动的情况。根据既往阑尾切除术将患者分为两组。

结果

共有462例右侧疝患者接受了TEP手术：421例无腹部手术史的患者（第1组）和41例有阑尾切除术史的患者（第2组）。第2组的中转率显著更高：4例患者（10%）中转至开放的Lichtenstein修补术，而第1组为5例（1%）（p = 0.005）。然而，我们发现并发症发生率、手术时间和恢复日常活动方面无显著差异。

结论

既往阑尾切除术后的患者可以安全地进行右侧（或双侧）TEP手术。尽管中转率较高，但绝大多数患者可以通过内镜进行手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a9e/2710495/9027455d3a86/464_2008_187_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a9e/2710495/9027455d3a86/464_2008_187_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a9e/2710495/9027455d3a86/464_2008_187_Fig1_HTML.jpg

相似文献

1
Feasibility of right-sided total extraperitoneal procedure for inguinal hernia repair after appendectomy: a prospective cohort study.阑尾切除术后腹股沟疝修补采用右侧完全腹膜外手术的可行性：一项前瞻性队列研究。
Surg Endosc. 2009 Aug;23(8):1754-8. doi: 10.1007/s00464-008-0187-3. Epub 2008 Dec 5.
2
Is unilateral laparoscopic TEP inguinal hernia repair a job half done? The case for bilateral repair.单侧腹腔镜经腹腹膜前疝修补术是做了一半的工作吗？双侧修补的理由。
Surg Endosc. 2010 Jul;24(7):1737-45. doi: 10.1007/s00464-009-0841-4. Epub 2010 Feb 5.
3
Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case-control study.既往下腹部手术后行完全腹膜外腹股沟疝修补术的可行性和安全性：一项病例对照研究。
Surg Endosc. 2011 Oct;25(10):3353-6. doi: 10.1007/s00464-011-1724-z. Epub 2011 May 2.
4
Feasibility and safety of laparoendoscopic single-site surgery of total extraperitoneal inguinal hernia repair after previous open groin hernia repair: a comparative study.既往开放性腹股沟疝修补术后经腹腔腹膜外腹股沟疝修补的腹腔镜单孔手术的可行性与安全性：一项对比研究
Surg Endosc. 2016 May;30(5):2086-9. doi: 10.1007/s00464-015-4461-x. Epub 2015 Aug 15.
5
Laparoscopic totally extraperitoneal repair of inguinal hernia using two-hand approach--a gold standard alternative to open repair.双手法腹腔镜完全腹膜外腹股沟疝修补术——开放修补术的金标准替代方法
J Indian Med Assoc. 2010 Oct;108(10):652-4.
6
Perioperative outcomes and complications of open vs laparoscopic extraperitoneal inguinal hernia repair in a mature surgical practice.在成熟的外科实践中，开放与腹腔镜腹膜外腹股沟疝修补术的围手术期结局及并发症
Surg Endosc. 2004 Feb;18(2):221-7. doi: 10.1007/s00464-003-8934-y. Epub 2003 Nov 21.
7
The feasibility and safety of single-incision totally extraperitoneal inguinal hernia repair after previous lower abdominal surgery: 350 procedures at a single center.既往下腹部手术后单切口完全腹膜外腹股沟疝修补术的可行性与安全性：单中心350例手术
Surg Today. 2017 Mar;47(3):307-312. doi: 10.1007/s00595-016-1376-7. Epub 2016 Jun 29.
8
Randomized controlled study of laparoscopic total extraperitoneal versus open Lichtenstein inguinal hernia repair.腹腔镜完全腹膜外修补术与开放式李金斯坦腹股沟疝修补术的随机对照研究
Surg Endosc. 2003 Jun;17(6):850-6. doi: 10.1007/s00464-002-8575-6. Epub 2003 Mar 28.
9
Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in patients with previous lower abdominal surgery.腹腔镜完全腹膜外（TEP）腹股沟疝修补术在有下腹部手术史的患者中的应用。
Surg Endosc. 2018 Dec;32(12):4757-4762. doi: 10.1007/s00464-018-6223-z. Epub 2018 May 14.
10
Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study.根治性前列腺切除术后或既往下腹部手术后的完全腹膜外（TEP）疝修补术：是否安全？一项前瞻性研究。
Surg Endosc. 2006 Mar;20(3):473-6. doi: 10.1007/s00464-006-3027-3. Epub 2006 Jan 18.

引用本文的文献

1
Risk of conversion after intended total extraperitoneal hernia repair for inguinal hernia depends on type of previous abdominal surgery.意向性全腹膜外疝修补术治疗腹股沟疝后转归风险取决于既往腹部手术类型。
Hernia. 2024 Aug;28(4):1161-1167. doi: 10.1007/s10029-024-02997-y. Epub 2024 Apr 16.
2
Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in patients with previous lower abdominal surgery.腹腔镜完全腹膜外（TEP）腹股沟疝修补术在有下腹部手术史的患者中的应用。
Surg Endosc. 2018 Dec;32(12):4757-4762. doi: 10.1007/s00464-018-6223-z. Epub 2018 May 14.
3
[Lower right abdominal pain and anal bleeding : A rare cause for nonspecific complaints].

本文引用的文献

1
Recurrence after totally extraperitoneal laparoscopic repair: implications for operative technique and surgical training.完全腹膜外腹腔镜修补术后复发：对手术技术和外科培训的启示
Surgeon. 2006 Oct;4(5):299-307. doi: 10.1016/s1479-666x(06)80007-7.
2
Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair.一项比较Lichtenstein开放式修补术与完全腹膜外腹腔镜腹股沟疝修补术的随机临床试验的短期结果
Br J Surg. 2006 Sep;93(9):1060-8. doi: 10.1002/bjs.5405.
3
Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study.
[右下腹痛与肛门出血：非特异性主诉的罕见病因]
Chirurg. 2018 Apr;89(4):306-309. doi: 10.1007/s00104-017-0534-9.
4
Conversion to Stoppa procedure in laparoscopic totally extraperitoneal inguinal hernia repair.腹腔镜完全腹膜外腹股沟疝修补术中转为Stoppa手术
JSLS. 2012 Apr-Jun;16(2):250-4. doi: 10.4293/108680812x13427982376347.
5
A rare complication from total extraperitoneal (TEP) laparoscopic inguinal hernia repair: bladder rupture associated with a balloon dissector.全腹膜外（TEP）腹腔镜腹股沟疝修补术的罕见并发症：与球囊分离器相关的膀胱破裂。
Hernia. 2013 Dec;17(6):797-9. doi: 10.1007/s10029-012-1014-2. Epub 2012 Nov 21.
6
Selecting patients during the "learning curve" of endoscopic Totally Extraperitoneal (TEP) hernia repair.在经内镜完全腹膜外（TEP）疝修补术的“学习曲线”期间选择患者。
Hernia. 2013 Dec;17(6):737-43. doi: 10.1007/s10029-012-1006-2. Epub 2012 Oct 27.
7
Endoscopic surgeons' preferences for inguinal hernia repair: TEP, TAPP, or OPEN.内镜外科医生对腹股沟疝修补术的偏好：TEP、TAPP 还是 OPEN。
Surg Endosc. 2012 Sep;26(9):2639-43. doi: 10.1007/s00464-012-2247-y. Epub 2012 Mar 22.
8
Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality.女性腹股沟疝：完全腹膜外（TEP）内镜修补术似乎是最恰当的治疗方式。
Hernia. 2012 Aug;16(4):387-92. doi: 10.1007/s10029-012-0904-7. Epub 2012 Feb 25.
根治性前列腺切除术后或既往下腹部手术后的完全腹膜外（TEP）疝修补术：是否安全？一项前瞻性研究。
Surg Endosc. 2006 Mar;20(3):473-6. doi: 10.1007/s00464-006-3027-3. Epub 2006 Jan 18.
4
Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males: a randomized trial.日间手术内镜全腹膜外腹股沟疝修补术与开放式李金斯坦疝修补术治疗男性单侧原发性腹股沟疝的随机对照试验
Surg Endosc. 2006 Jan;20(1):76-81. doi: 10.1007/s00464-005-0203-9. Epub 2005 Oct 24.
5
Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery.
Hernia. 2005 Oct;9(3):228-30. doi: 10.1007/s10029-005-0323-0. Epub 2005 Oct 22.
6
Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair.经腹腹膜前（TAPP）与完全腹膜外（TEP）腹腔镜技术用于腹股沟疝修补术的比较
Cochrane Database Syst Rev. 2005 Jan 25;2005(1):CD004703. doi: 10.1002/14651858.CD004703.pub2.
7
Randomized controlled study of laparoscopic total extraperitoneal versus open Lichtenstein inguinal hernia repair.腹腔镜完全腹膜外修补术与开放式李金斯坦腹股沟疝修补术的随机对照研究
Surg Endosc. 2003 Jun;17(6):850-6. doi: 10.1007/s00464-002-8575-6. Epub 2003 Mar 28.
8
Laparoscopic techniques versus open techniques for inguinal hernia repair.腹腔镜技术与开放技术用于腹股沟疝修补术的比较。
Cochrane Database Syst Rev. 2003;2003(1):CD001785. doi: 10.1002/14651858.CD001785.
9
The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair.完全腹膜外腹腔镜腹股沟疝修补术的学习曲线
Am J Surg. 1996 Feb;171(2):281-5. doi: 10.1016/S0002-9610(97)89569-4.