Millikan K W, Kosik M L, Doolas A
Rush Presbyterian St. Luke's Medical Center, Chicago, IL 60612.
Surg Laparosc Endosc. 1994 Aug;4(4):247-53.
In this study, laparoscopic transabdominal preperitoneal inguinal hernia repair and traditional open inguinal hernia repair were compared in relation to operative time, hospital stay, pain medication use, recovery time, complications, and costs. Elective hernia repairs, 126 in 106 patients, were prospectively followed from January 1991 through September 1993. Seventy-five procedures were performed by laparoscopy and 51 by traditional open approach. Time off work, pain medication use, surgical complications, and hospital stay were all significantly less (p < 0.001) with the laparoscopic approach. Patients in the laparoscopic group returned to work on average 5.5 weeks earlier than patients who underwent traditional herniorrhaphy. The difference in operative times was not statistically significant; however, the difference in the cost of the operations was. In conclusion, laparoscopic inguinal hernia repair offers significantly decreased postoperative pain, shorter hospital stays, faster return to work, fewer complications, and comparable operative times, but at an increased expense for the cost of laparoscopic instrumentation and technology.
在本研究中，对腹腔镜经腹腹膜前腹股沟疝修补术与传统开放性腹股沟疝修补术在手术时间、住院时间、止痛药物使用、恢复时间、并发症及费用方面进行了比较。自1991年1月至1993年9月，对106例患者的126例择期疝修补术进行了前瞻性随访。其中75例采用腹腔镜手术，51例采用传统开放手术。腹腔镜手术组的误工时间、止痛药物使用、手术并发症及住院时间均显著少于传统开放手术组（p < 0.001）。腹腔镜手术组患者比接受传统疝修补术的患者平均早5.5周恢复工作。手术时间差异无统计学意义；然而，手术费用存在差异。总之，腹腔镜腹股沟疝修补术可显著减轻术后疼痛、缩短住院时间、更快恢复工作、减少并发症，且手术时间相近，但腹腔镜器械和技术成本较高。
