Park A, Birch D W, Lovrics P
Division of General Surgery, University of Kentucky Medical Center, Lexington 40536-0084, USA.
Surgery. 1998 Oct;124(4):816-21; discussion 821-2. doi: 10.1067/msy.1998.92102.
Techniques for performing laparoscopic incisional hernia repair have been described and some advantages over conventional open repair reported. However, most reported series of laparoscopic incisional hernia procedures are small, and only one has included a comparison with open repairs.
From December 1993 to January 1998, we prospectively collected operative and outcome data on 56 consecutive laparoscopic prosthetic repairs of large incisional hernias. The data were compared with those from a retrospective view of 49 open incisional hernia repairs done in January 1991 to December 1993.
The open and laparoscopic repair groups were comparable in patient age, sex, preoperative American Society of Anesthesiologists score, hernia size, and history of previous repair. Operative time was significantly longer in the laparoscopic group; duration of hospitalization and number of perioperative complications were significantly greater in the open group.
In this series, laparoscopic repair of incisional hernias took longer to perform than open repair but was associated with fewer perioperative complications and a shorter hospital stay.
已经描述了腹腔镜切口疝修补术的技术，并报道了其相对于传统开放修补术的一些优势。然而，大多数报道的腹腔镜切口疝手术系列规模较小，只有一个系列进行了与开放修补术的比较。
从1993年12月至1998年1月，我们前瞻性收集了连续56例大型切口疝腹腔镜假体修补术的手术及结果数据。将这些数据与1991年1月至1993年12月进行的49例开放切口疝修补术的回顾性数据进行比较。
开放修补组和腹腔镜修补组在患者年龄、性别、术前美国麻醉医师协会评分、疝大小及既往修补史方面具有可比性。腹腔镜组的手术时间明显更长；开放组的住院时间和围手术期并发症数量明显更多。
在本系列研究中，腹腔镜切口疝修补术的实施时间比开放修补术长，但围手术期并发症较少，住院时间较短。
