Liem M S, van Vroonhoven T J
Department of Surgery, University Hospital, Utrecht, Netherlands.
Br J Surg. 1996 Sep;83(9):1197-1204.
Laparoscopic inguinal hernia repair may cause a revolution in general surgery if it proves to be the best treatment for inguinal hernia. Today there are several laparoscopic techniques that have been shown to be feasible. However, no information concerning long-term recurrence rates and cost-effectiveness is available. This review summarizes current knowledge, including all randomized studies that have appeared hitherto, and concludes that it is still premature to advocate a transition from the preferred individualized conventional technique to a laparoscopic technique on a large scale. However, a definite statement on the place of laparoscopic repair may be given in the near future in the light of larger randomized studies.
如果腹腔镜腹股沟疝修补术被证明是腹股沟疝的最佳治疗方法，它可能会引发普通外科的一场革命。目前已有多种腹腔镜技术被证明是可行的。然而，尚无关于长期复发率和成本效益的信息。这篇综述总结了当前的知识，包括迄今为止出现的所有随机研究，并得出结论：主张从首选的个体化传统技术大规模转向腹腔镜技术仍为时过早。不过，鉴于更大规模的随机研究，在不久的将来可能会对腹腔镜修补术的地位给出明确的说法。
