腹腔镜完全腹膜外腹股沟疝修补术中转为Stoppa手术
Conversion to Stoppa procedure in laparoscopic totally extraperitoneal inguinal hernia repair.
作者信息
Ates Mustafa, Dirican Abuzer, Ozgor Dincer, Gonultas Fatih, Isik Burak
机构信息
Department of General Surgery, Inonu University Medical Faculty, Malatya, Turkey (all authors).
出版信息
JSLS. 2012 Apr-Jun;16(2):250-4. doi: 10.4293/108680812x13427982376347.
BACKGROUND AND OBJECTIVES
Conversion to open surgery is an important problem, especially during the learning curve of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair.
METHODS
Here, we discuss conversion to the Stoppa procedure during laparoscopic TEP inguinal hernia repair. Outcomes of patients who underwent conversion to an open approach during laparoscopic TEP inguinal hernia repair between September 2004 and May 2010 were evaluated.
RESULTS
In total, 259 consecutive patients with 281 inguinal hernias underwent laparoscopic TEP inguinal hernia repair. Thirty-one hernia repairs (11%) were converted to open conventional surgical procedures. Twenty-eight of 31 laparoscopic TEP hernia repairs were converted to modified Stoppa procedures, because of technical difficulties. Three of these patients underwent Lichtenstein hernia repairs, because they had undergone previous surgeries.
CONCLUSION
Stoppa is an easy and successful procedure used to solve problems during TEP hernia repair. The Lichtenstein procedure may be a suitable option in patients who have undergone previous operations, such as a radical prostatectomy.
背景与目的
中转开腹手术是一个重要问题，尤其是在腹腔镜完全腹膜外（TEP）腹股沟疝修补术的学习曲线阶段。
方法
在此，我们讨论腹腔镜TEP腹股沟疝修补术中中转至Stoppa手术的情况。对2004年9月至2010年5月期间在腹腔镜TEP腹股沟疝修补术中中转至开放手术方式的患者的结局进行了评估。
结果
共有259例连续患者的281例腹股沟疝接受了腹腔镜TEP腹股沟疝修补术。31例疝修补术（11%）中转至开放传统手术方式。31例腹腔镜TEP疝修补术中的28例因技术困难中转至改良Stoppa手术。其中3例患者接受了Lichtenstein疝修补术，因为他们之前接受过手术。
结论
Stoppa是一种用于解决TEP疝修补术中问题的简单且成功的手术。对于之前接受过如根治性前列腺切除术等手术的患者，Lichtenstein手术可能是一个合适的选择。
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