腹腔镜治疗半月线疝

Laparoscopic management of spigelian hernias.

作者信息

Skouras Christos, Purkayastha Sanjay, Jiao Long, Tekkis Paris, Darzi Ara, Zacharakis Emmanouil

机构信息

Department of HPB Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK.

出版信息

Surg Laparosc Endosc Percutan Tech. 2011 Apr;21(2):76-81. doi: 10.1097/SLE.0b013e31820d66df.

DOI:10.1097/SLE.0b013e31820d66df

PMID:21471796

Abstract

PURPOSE

Spigelian hernias are rare, and their treatment has traditionally been by open surgery. Laparoscopic management is however, becoming more popular. The aim of our review is to examine the existing evidence regarding the safety and effectiveness of the laparoscopic approach to the management of spigelian hernias.

METHODS

A systematic literature search was carried out including Medline with PubMed as the search engine, and Ovid, Embase, Cochrane Collaboration, and Google Scholar databases to identify articles in English language reporting on laparoscopic management of spigelian hernias.

RESULTS

Thirty-three articles were found, with a total number of 84 successfully managed cases, reported from 1992 to 2009. No recurrences (0%) and minimal morbidity (2.3%) are reported. Furthermore, the reported hospital stay of patients was remarkably short.

CONCLUSIONS

Current data suggest that the laparoscopic approach to the management of spigelian hernias is safe and effective, both in the elective and emergency setting.

摘要