Wu Xi-Wen, Yang Ding-Quan, Wang Ming-Wei, Jiao Yan
The First Operating Room, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
Department of Gastrointestinal and Colorectal Surgery, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin Province, China.
World J Gastrointest Surg. 2024 Jul 27;16(7):1973-1980. doi: 10.4240/wjgs.v16.i7.1973.
Among minimally invasive surgical procedures, colorectal surgery is associated with a notably higher incidence of incisional hernia (IH), ranging from 1.7% to 24.3%. This complication poses a significant burden on the healthcare system annually, necessitating urgent attention from surgeons. In a study published in the , Fan compared the incidence of IH among 1614 patients who underwent laparoscopic colorectal surgery with different extraction site locations and evaluated the risk factors associated with its occurrence. This editorial analyzes the current risk factors for IH after laparoscopic colorectal surgery, emphasizing the impact of obesity, surgical site infection, and the choice of incision location on its development. Furthermore, we summarize the currently available preventive measures for IH. Given the low surgical repair rate and high recurrence rate associated with IH, prevention deserves greater research and attention compared to treatment.
在微创手术中，结直肠手术的切口疝（IH）发生率显著更高，范围在1.7%至24.3%之间。这种并发症每年给医疗系统带来沉重负担，外科医生急需予以关注。在发表于《 》的一项研究中，范[作者姓氏]比较了1614例接受不同取出部位腹腔镜结直肠手术患者的IH发生率，并评估了与其发生相关的风险因素。本社论分析了腹腔镜结直肠手术后IH的当前风险因素，强调肥胖、手术部位感染以及切口位置选择对其发生发展的影响。此外，我们总结了目前可用的IH预防措施。鉴于IH相关的手术修复率低且复发率高，与治疗相比，预防值得更多的研究和关注。
