使用Hem-o-lok™修复作为完全腹膜外修补术并发症的腹膜撕裂的有效性：病例系列
Usefulness of repair using Hem-o-lok™ for peritoneal tear as a complication of totally extraperitoneal repair: Case series.
作者信息
Nitta Toshikatsu, Kataoka Jun, Ohta Masato, Fujii Kensuke, Takashima Youko, Ishibashi Takashi
机构信息
Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
出版信息
Ann Med Surg (Lond). 2019 Nov 23;49:5-8. doi: 10.1016/j.amsu.2019.11.011. eCollection 2020 Jan.
INTRODUCTION
Peritoneal tear (PT) is a frequent intraoperative event during totally extraperitoneal repair (TEP). We aimed to introduce our surgical technique for PT during TEP to avoid the more difficult TEP procedure.MethodsOne surgeon with 10 years of experience performed our TEP method in 147 TEP cases from January 2012 to June 2019. We investigated the repair time of each repair technique using endoscopic suturing (suturing group, SG) and endoscopic Hem-o-lok stapling (CG).
RESULTS
Twenty-three (15.6%) PT cases occurred as TEP complication. The mean repair times (with standard deviation) of the PT were 16.2 ± 13 and 7.6 ± 7.0 min in the SG and CG, respectively, indicating a significant difference (P = 0.043). The repair time of the PT using Hem-o-lok (Teleflex, Wayne, PA, USA) stapling was shorter than that using endoscopic suturing, which was significantly different despite the length of the PT.
CONCLUSION
Hem-o-lok stapling is feasible in case of PT during TEP.
引言
腹膜撕裂（PT）是完全腹膜外修补术（TEP）过程中常见的术中事件。我们旨在介绍我们在TEP手术中处理PT的技术，以避免更复杂的TEP手术操作。
方法
2012年1月至2019年6月，一名具有10年经验的外科医生采用我们的TEP方法进行了147例TEP手术。我们使用内镜缝合（缝合组，SG）和内镜Hem-o-lok吻合器（CG）研究了每种修复技术的修复时间。
结果
23例（15.6%）PT病例作为TEP并发症出现。SG组和CG组PT的平均修复时间（标准差）分别为16.2±13分钟和7.6±7.0分钟，差异有统计学意义（P = 0.043）。使用Hem-o-lok（美国宾夕法尼亚州韦恩市泰利福公司）吻合器修复PT的时间短于内镜缝合，无论PT的长度如何，差异均有统计学意义。
结论
在TEP手术中出现PT时，使用Hem-o-lok吻合器是可行的。
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