Skouras Christos, Purkayastha Sanjay, Jiao Long, Tekkis Paris, Darzi Ara, Zacharakis Emmanouil
Department of HPB Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK.
Surg Laparosc Endosc Percutan Tech. 2011 Apr;21(2):76-81. doi: 10.1097/SLE.0b013e31820d66df.
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.
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.
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.
Current data suggest that the laparoscopic approach to the management of spigelian hernias is safe and effective, both in the elective and emergency setting.
半月线疝较为罕见，传统上其治疗方式为开放手术。然而，腹腔镜治疗正变得越来越普遍。我们本次综述的目的是研究关于腹腔镜治疗半月线疝的安全性和有效性的现有证据。
进行了一项系统的文献检索，包括以PubMed为搜索引擎的Medline，以及Ovid、Embase、Cochrane协作网和谷歌学术数据库，以识别用英语报道腹腔镜治疗半月线疝的文章。
共找到33篇文章，报道了1992年至2009年期间总共84例成功治疗的病例。未报告复发情况（0%），发病率极低（2.3%）。此外，所报道的患者住院时间明显较短。
目前的数据表明，无论是在择期还是急诊情况下，腹腔镜治疗半月线疝的方法都是安全有效的。
