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病例报告：机器人辅助经腹膜外补片植入术用于切口疝的完全腹膜外修补

Case Report: Robotic PeTEP for Totally Extraperitoneal Repair of Incisional Hernia.

作者信息

Radu Victor G

机构信息

Department of General Surgery, Medlife Medical Park Hospital, Bucharest, Romania.

出版信息

J Abdom Wall Surg. 2025 Feb 12;4:14072. doi: 10.3389/jaws.2025.14072. eCollection 2025.

DOI:10.3389/jaws.2025.14072
PMID:40018079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11859586/
Abstract

The development of minimally invasive surgical techniques for ventral hernias has significantly progressed, evolving from IPOM and IPOM + to advancements like eTEP/eTEP-TAR. These newer techniques have demonstrated their effectiveness by delivering excellent postoperative outcomes, despite being introduced less than a decade ago. Recreating traditional procedures, which are considered the "gold standard" in ventral hernia surgery, through minimally invasive methods-such as the Rives-Stoppa repair-could represent the next frontier in abdominal wall surgery. This publication focuses on replicating ventral incisional hernia repair using an extraperitoneal approach, as outlined by Todd Heniford, and taking inspiration from the PeTEP technique for primary ventral hernias, whether associated with diastasis recti or not, as described by Hector Valenzuela.

摘要

腹侧疝微创手术技术取得了显著进展，从腹腔内补片植入修补术（IPOM）和IPOM + 发展到如完全腹膜外腹腔镜疝修补术（eTEP）/eTEP联合腹膜前修补术（eTEP-TAR）等先进技术。尽管这些新技术问世还不到十年，但已通过出色的术后效果证明了其有效性。通过微创方法重现被视为腹侧疝手术“金标准”的传统手术，如里夫斯 - 斯托帕修补术，可能代表腹壁手术的下一个前沿领域。本出版物重点关注采用经腹膜外入路复制腹侧切口疝修补术，这是托德·赫尼福德所概述的，并从赫克托·巴伦苏埃拉所描述的用于原发性腹侧疝（无论是否伴有腹直肌分离）的经皮腹膜外疝修补术（PeTEP）技术中汲取灵感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/040236aecba8/jaws-04-14072-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/f0020367088b/jaws-04-14072-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/0478ec35b040/jaws-04-14072-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/b476babddf63/jaws-04-14072-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/040236aecba8/jaws-04-14072-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/f0020367088b/jaws-04-14072-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/0478ec35b040/jaws-04-14072-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/b476babddf63/jaws-04-14072-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c36e/11859586/040236aecba8/jaws-04-14072-g004.jpg

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本文引用的文献

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Robotic preperitoneal extended totally extraperitoneal (R-PeTEP) technique description for ventral hernia repair: preliminary results.机器人经腹腔腹膜前完全腹膜外（R-PeTEP）技术在腹疝修补中的应用描述：初步结果。
Updates Surg. 2024 Nov;76(7):2715-2722. doi: 10.1007/s13304-024-02002-2. Epub 2024 Sep 19.
2
The eTEP/eTEP-TAR Repair of Ventral Hernias a Study From One Center/ One Surgeon-The First Five Years of Experience.腹疝的eTEP/eTEP-TAR修补术：来自单一中心/单一外科医生的研究——首个五年经验
J Abdom Wall Surg. 2024 Apr 24;3:12796. doi: 10.3389/jaws.2024.12796. eCollection 2024.
3
Early results of eTEP access surgery with preperitoneal repair of primary midline ventral hernias and diastasis recti. A 33 patient case series of "PeTEP".
经腹膜前修补原发性中线腹疝和腹直肌分离的 eTEP 入路手术的早期结果。33 例“PeTEP”病例系列。
Surg Endosc. 2024 Jun;38(6):3204-3211. doi: 10.1007/s00464-024-10832-9. Epub 2024 Apr 18.
4
Pathways of the preperitoneal plane: from the "fatty triangle" in Rives to the "fatty trident" in extended retromuscular abdominal wall reconstruction. A tribute to Prof. Schumpelick.腹膜前间隙的解剖途径：从里夫斯的“脂肪三角”到扩展的腹直肌后外侧壁重建的“脂肪三叉戟”。向施普伦格教授致敬。
Hernia. 2023 Apr;27(2):395-407. doi: 10.1007/s10029-022-02602-0. Epub 2022 Apr 15.
5
A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair.一种使用增强型完全腹膜外（eTEP）技术的腹腔镜肌后疝修补的新方法。
Surg Endosc. 2018 Mar;32(3):1525-1532. doi: 10.1007/s00464-017-5840-2. Epub 2017 Sep 15.
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Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)-part 1.腹腔镜治疗腹壁下和切口疝的指南（国际腹内疝学会 (IEHS)-第 1 部分。
Surg Endosc. 2014 Jan;28(1):2-29. doi: 10.1007/s00464-013-3170-6. Epub 2013 Oct 11.
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