Doluweera Dinul, Silva Ovini, Seneviratne Suranjith L, De Zoysa Ishan
Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Nawaloka Hospital Research & Development Centre, Colombo, Sri Lanka.
J Laparoendosc Adv Surg Tech A. 2025 Jan;35(1):22-30. doi: 10.1089/lap.2024.0287. Epub 2024 Dec 4.
Cholelithiasis and inguinal hernias are common surgical conditions that often coexist. Laparoscopic techniques are increasingly used for both cholecystectomy and inguinal hernia repair. This study aimed to systematically review the available evidence on the safety and efficacy of simultaneous laparoscopic cholecystectomy (LC) and laparoscopic inguinal hernia repair (LIHR). A systematic search of the PubMed/MEDLINE and Google Scholar databases was performed for articles published until March 2024 using specific keywords. Studies meeting predetermined inclusion and exclusion criteria were analyzed. Ten studies comprising 199 patients were included in the review. The mean operative time for combined LC and LIHR ranged from 55 to 157 minutes, with an average hospital stay between 1 and 4 days. The overall complication rate was 22%, with seroma/hematoma formation (6.5%) being most common. There were no reported mortalities or cases of mesh infection. This review suggested that simultaneous LC and LIHR is a safe and effective option for patients with both conditions. The combined procedure offers potential benefits such as reduced hospital stay, faster recovery, and cost savings. Although the optimal sequence of surgical procedures for LIHR and LC remains debatable, the risk of mesh infection appears to be minimal.
胆结石和腹股沟疝是常见的外科病症，常同时存在。腹腔镜技术越来越多地用于胆囊切除术和腹股沟疝修补术。本研究旨在系统评价同期腹腔镜胆囊切除术（LC）和腹腔镜腹股沟疝修补术（LIHR）的安全性和有效性的现有证据。使用特定关键词对PubMed/MEDLINE和谷歌学术数据库进行系统检索，查找截至2024年3月发表的文章。对符合预定纳入和排除标准的研究进行分析。该综述纳入了10项研究，共199例患者。LC和LIHR联合手术的平均手术时间为55至157分钟，平均住院时间为1至4天。总体并发症发生率为22%，最常见的是血清肿/血肿形成（6.5%）。未报告死亡病例或补片感染病例。该综述表明，对于同时患有这两种病症的患者，同期LC和LIHR是一种安全有效的选择。联合手术具有潜在益处，如缩短住院时间、更快康复和节省费用。尽管LIHR和LC的最佳手术顺序仍有争议，但补片感染的风险似乎最小。
