经脐入路在腹腔镜肝切除术中用于脏器切除的实用性。

Usefulness of a Transumbilical Incision for Organ Removal in Laparoscopic Hepatectomy.

机构信息

Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan.

Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan

出版信息

Anticancer Res. 2020 Nov;40(11):6545-6550. doi: 10.21873/anticanres.14679.

DOI:10.21873/anticanres.14679

PMID:33109596

Abstract

BACKGROUND/AIM: To evaluate the complication rates and risk factors associated with transumbilical wounds and investigate the usefulness of an incision for organ removal in laparoscopic hepatectomy (Lap-H).

PATIENTS AND METHODS

We enrolled 42 patients who underwent Lap-H excluding a small partial resection in our hospital between 2013 and 2018. The occurrences of superficial surgical site infection (SSI) and transumbilical port-site incisional hernia were recorded.

RESULTS

SSI was not observed, and hernia occurred in 3 patients (7.14%). Univariate analysis revealed that body mass index (BMI) (p=0.004) was significantly associated with the risk of hernia formation.

CONCLUSION

High BMI is a risk factor for hernia formation in patients undergoing Lap-H with transumbilical incision; hence, wound closure should be performed carefully. The construction of the transumbilical wound for organ removal was feasible with rationality, with no need to create a new wound.

摘要

背景/目的：评估经脐切口相关并发症发生率及危险因素，并探讨腹腔镜肝切除术（Lap-H）中经脐取器官切口的实用性。