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腹腔镜根治性前列腺切除术后外侧单切口经腹腹膜前疝修补术（L-SILTEP）：附文献复习的罕见病例报告。

Lateral single incision laparoscopic totally extraperitoneal hernioplasty (L-SILTEP) after laparoscopic radical prostatectomy: A rare case report with literature review.

机构信息

Ningbo Beilun Third People's Hospital, Ningbo, China.

The First Affiliated Hospital of Ningbo University, Ningbo, China.

出版信息

Medicine (Baltimore). 2023 Aug 11;102(32):e34543. doi: 10.1097/MD.0000000000034543.

DOI:10.1097/MD.0000000000034543
PMID:37565898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10419787/
Abstract

INTRODUCTION

Single-incision laparoscopic totally extraperitoneal hernioplasty is a commonly used surgical procedure for the treatment of inguinal hernia. However, it is difficult to use traditional single incision laparoscopic totally extraperitoneal hernioplasty to treat inguinal hernia after laparoscopic radical prostatectomy. We successfully and smoothly cured a patient with left inguinal hernia after laparoscopic radical prostatectomy using lateral single incision laparoscopic totally extraperitoneal hernioplasty.

CASE PRESENTATION

We report the case of a 70-year-old man who underwent laparoscopic radical prostatectomy 2 years earlier and had an evanescent mass in the left inguinal region for 1 month.

DIAGNOSIS

On the basis of preoperative abdominal computed tomography and intraoperative findings, the patient was diagnosed with a left indirect inguinal hernia, and post-laparoscopic radical prostatectomy.

INTERVENTIONS

The patient underwent lateral single incision laparoscopic totally extraperitoneal hernioplasty.

OUTCOMES

The patient recovered well after the operation, and there were no postoperative complications or recurrence of inguinal hernia 3 months after the operation.

CONCLUSION

For patients who have undergone laparoscopic radical prostatectomy, lateral single-incision laparoscopic totally extraperitoneal hernioplastycan be performed.

摘要

介绍

单切口腹腔镜完全腹膜外疝修补术是治疗腹股沟疝的常用手术方法。然而，对于腹腔镜根治性前列腺切除术后的腹股沟疝，使用传统的单切口腹腔镜完全腹膜外疝修补术治疗较为困难。我们成功地使用外侧单切口腹腔镜完全腹膜外疝修补术为 1 例腹腔镜根治性前列腺切除术后的左侧腹股沟疝患者进行了治疗。

病例介绍

我们报告了 1 例 70 岁男性患者，他在 2 年前接受了腹腔镜根治性前列腺切除术，并且在 1 个月前左侧腹股沟区出现一过性肿块。

诊断

基于术前腹部计算机断层扫描和术中发现，患者被诊断为左侧腹股沟斜疝，且为腹腔镜根治性前列腺切除术后。

干预措施

患者接受了外侧单切口腹腔镜完全腹膜外疝修补术。

结果

患者术后恢复良好，术后 3 个月无术后并发症或腹股沟疝复发。

结论

对于接受过腹腔镜根治性前列腺切除术的患者，可以进行外侧单切口腹腔镜完全腹膜外疝修补术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd08/10419787/033ed4ea065c/medi-102-e34543-g010.jpg
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