经脐入路作为腹腔镜胰腺切除术的器官切除部位的应用。
Use of Transumbilical Incision as an Organ Removal Site in Laparoscopic Pancreatectomy.
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. 2021 Apr;41(4):2197-2201. doi: 10.21873/anticanres.14995.
BACKGROUND/AIM: To evaluate complications and risk factors associated with transumbilical incision as an organ removal site in laparoscopic pancreatectomy (LP).
PATIENTS AND METHODS
In total, 52 patients who underwent LP between 2009 and 2017 were included in this study. The development of superficial surgical site infection (SSI) and transumbilical port-site incisional hernia was recorded.
RESULTS
None of the patients had SSI. However, three (5.77%) presented with transumbilical incisional hernia. No variables were significantly associated with the risk of transumbilical incisional hernia.
CONCLUSION
No evident risk factors correlated with hernia formation. Hence, incisional hernia might have occurred at a certain probability. In some cases, it was caused by technical problems. However, the use of transumbilical incision as an organ removal site was feasible, and a new incision for organ removal alone was not required.
背景/目的：评估经脐入路作为腹腔镜胰腺切除术（LP）器官切除部位相关并发症和危险因素。
患者和方法
本研究共纳入 2009 年至 2017 年间接受 LP 的 52 例患者。记录了浅表手术部位感染（SSI）和经脐端口部位切口疝的发生情况。
结果
无患者发生 SSI。然而，有 3 例（5.77%）出现经脐切口疝。无变量与脐部切口疝的风险显著相关。
结论
没有明显的危险因素与疝形成相关。因此，切口疝可能有一定的发生概率。在某些情况下，它是由技术问题引起的。然而，经脐入路作为器官切除部位是可行的，不需要单独为器官切除做新的切口。
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