Almeida Diogo S, Medina Luís Henrique A, Miranda Nathalia C, Almeida Tiago S, Mattos Letícia F, Marchi Maria E, Azaro Marina M, Gousseaud Gabriel Q, Coelho Elaine R
General Surgery, Bahiana School of Medicine and Public Health, Salvador, BRA.
General Surgery, Zarns Health Education Institute, Salvador, BRA.
Cureus. 2024 Dec 2;16(12):e74992. doi: 10.7759/cureus.74992. eCollection 2024 Dec.
This study aims to compare operative time, recurrence, and complications between laparoscopic and open techniques for the repair of inguinal hernia in children. Pubmed and Embase databases were systematically searched for studies of pediatric patients who underwent open or laparoscopic inguinal hernia procedures. The main outcomes were operative time, recurrence, and complications. Statistical analysis was performed using RevMan 5.4.1 software (The Cochrane Collaboration, Copenhagen), and heterogeneity was assessed using the I² strategy. Four randomized clinical trials were included in the statistical analysis, totaling 662 patients, with 337 patients in the laparoscopic technique group. Operative time was significantly shorter in the laparoscopic technique group (STD -0.75, 95% CI (-1.43, -0.07), P < 0.00001, I² = 92%). Recurrence (RR 0.60, 95% CI (0.18, 2.02), P = 0.54, I² = 0%) and complications (RR 0.49, 95% CI (0.12, 2.03), P = 0.32, I² = 67%) were statistically similar between the two groups. The laparoscopic technique for inguinal hernia repair in children proved to be faster, with similar recurrence and complication rates compared to the open technique.
本研究旨在比较腹腔镜技术与开放技术在小儿腹股沟疝修补术中的手术时间、复发率及并发症情况。系统检索了Pubmed和Embase数据库中有关接受开放或腹腔镜腹股沟疝手术的儿科患者的研究。主要结局指标为手术时间、复发率及并发症。使用RevMan 5.4.1软件（哥本哈根Cochrane协作网）进行统计分析，并采用I²法评估异质性。四项随机临床试验纳入统计分析，共662例患者，其中腹腔镜技术组337例。腹腔镜技术组的手术时间显著更短（标准化差值-0.75，95%置信区间（-1.43，-0.07），P<0.00001，I²=92%）。两组间的复发率（风险比0.60，95%置信区间（0.18，2.02），P=0.54，I²=0%）及并发症发生率（风险比0.49，95%置信区间（0.12，2.03），P=0.32，I²=67%）在统计学上相似。结果表明，小儿腹股沟疝修补术中的腹腔镜技术更快，与开放技术相比，复发率和并发症发生率相似。
