Hussain Abdulzahra, Mahmood Hind, Singhal Tarun, Balakrishnan Santosh, Nicholls Jackie, El-Hasani Shamsi
Department of General Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Greater London, United Kingdom.
JSLS. 2009 Jul-Sep;13(3):346-9.
Laparoscopic surgery is widely practiced and offers realistic benefits over conventional surgery. There is considerable variation in results between surgeons, concerning port-site complications. The aim of this study was to evaluate the laparoscopic port closure technique and to explore the factors associated with port-site incisional hernia.
Between January 2000 and January 2007, 5541 laparoscopic operations were performed by a single consultant surgeon for different indications. The ports were closed by the classical method using a J-shaped needle after release of pneumoperitoneum. The incidence of port-site incisional hernias was calculated. All patients were followed up by outpatient clinic visits and by their general practitioners.
During a 6-year period, 5541 laparoscopic operations were performed. Eight patients (0.14%) developed port-site hernia during a mean follow-up period of 43 months (range, 25 to 96) and required elective surgery to repair their hernias. No major complications or mortality was reported.
Laparoscopic port closure using the classical method was associated with an acceptable incidence of port-site hernia. Modification of the current methods of closure may lead to a new technique to prevent or reduce the incidence of port-site incisional hernias.
腹腔镜手术应用广泛，与传统手术相比具有切实的优势。不同外科医生的手术结果在切口并发症方面存在显著差异。本研究的目的是评估腹腔镜切口关闭技术，并探究与切口疝相关的因素。
2000年1月至2007年1月期间，一名会诊外科医生针对不同适应症进行了5541例腹腔镜手术。气腹解除后，采用经典方法用J形针关闭切口。计算切口疝的发生率。所有患者均通过门诊随访及全科医生进行跟踪。
在6年期间，共进行了5541例腹腔镜手术。8例患者（0.14%）在平均43个月（范围25至96个月）的随访期内发生切口疝，需要择期手术修复疝。未报告重大并发症或死亡病例。
采用经典方法关闭腹腔镜切口时，切口疝的发生率是可接受的。对当前关闭方法进行改进可能会产生一种预防或降低切口疝发生率的新技术。
