期刊文献+

腹腔镜完全腹膜外疝修补术与经腹腹膜前疝修补术的临床疗效对比 被引量:12

Comparison of the clinical efficacy of laparoscopic totally extraperitoneal hernia repair and transabdominal preperitoneal prosthesis
下载PDF
导出
摘要 目的:探讨腹腔镜完全腹膜外疝修补术(totally extraperitoneal,TEP)与经腹腹膜前疝修补术(transabdominal preperitoneal,TAPP)的临床应用价值。方法:选取2012年6月至2013年12月收治的90例腹股沟疝患者。随机分为TEP组与TAPP组。对比分析两组患者的手术时间、术后疼痛时间、住院时间、住院费用、并发症发生情况及复发例数等。结果:与TAPP组相比,TEP组手术时间、术后疼痛时间及住院时间明显缩短,且住院费用明显降低,差异均有统计学意义(P<0.05)。两组阴囊血清肿、术后暂时性神经感觉异常及尿潴留等并发症发生率、腹股沟疝复发率差异无统计学意义(P>0.05)。结论:对于腹股沟疝患者而言,TEP可进一步缩短术后疼痛时间,减轻患者的经济负担,但对术者的操作熟练程度要求较高,有待进一步推广应用。 Objective: To probe into clinical application value of laparoscopic totally extraperitoneal hernia repair( TEP) and transabdominal preperitoneal prosthesis( TAPP). Methods: From Jun. 2012 to Dec. 2013,90 inguinal hernia patients were selected. The patients were divided into TEP group and TAPP group randomly. The operative time,time of postoperative pain,length of hospital stay,cost of hospitalization,complications and recurrence ratio of the patients in two groups were compared and analyzed. Results: Compared with TAPP group,the operative time,time of postoperative pain,and length of hospital stay of the patients in TEP group was significantly shorter,and the cost of hospitalization was reduced significantly,there were statistically significant differences( P〈0. 05). The incidence of complications,including scrotum seroma,postoperative transient nerve paresthesia and urinary retention,and the ratio of postoperative inguinal hernia recurrence of the two groups were not statistically significantly different( P〈0. 05). Conclusions: For inguinal hernia patients,TEP could further reduce time of postoperative pain and the financial burden on patients. But it requires high operating proficiency of doctor,it need further application.
出处 《腹腔镜外科杂志》 2016年第2期105-107,共3页 Journal of Laparoscopic Surgery
关键词 腹股沟 疝修补术 完全腹膜外 经腹腹膜前 腹腔镜检查 疗效比较研究 Hernia inguinal Herniorrhaphy Totally extraperitoneal Transabdominal preperitoneal Laparoscopy Comparative effectiveness research
  • 相关文献

参考文献10

  • 1Choy C,Shapiro K,Patel S,et al.Investigating a possible cause of mesh migration during totally extraperitoneal(TEP)repair[J].Surg Endosc,2004,18(3):523-525.
  • 2Mc Cormack K,Wake BL,Fraser C,et al.Transabdominal pre-peritoneal(TAPP)versus totally extraperitoneal(TEP)laparoscopic techniques for inguinal hernia repair:a systematic review[J].Hernia,2005,9(2):109-114.
  • 3Moreno-Egea A,Torralba Martínez JA,Morales Cuenca G,et al.Randomized clinical trial of fixation vs nonfixation of mesh in total extraperitoneal inguinal hernioplasty[J].Arch Surg,2004,139(12):1376-1379.
  • 4柳青婷,崔明,王世清,莫平,刘泽刚.完全腹膜外疝修补术与经腹腹膜前疝修补术的临床疗效对比[J].中华疝和腹壁外科杂志(电子版),2014,8(3):23-25. 被引量:18
  • 5Derrick KL,Norbury K,Kieswetter K,et al.Comparative analysis of global gene expression profiles between diabetic rat wounds treated with vacuum-assisted closure therapy,moist wound healing or gauze under suction[J].Int Wound J,2008,5(5):615-624.
  • 6Hamza Y,Gabr E,Hammadi H,et al.Four-arm randomized trial comparing laparoscopic and open hernia repairs[J].Int J Surg,2010,8(1):25-28.
  • 7张宪国,俞德梁.完全腹膜外疝修补术与Kugel修补术对比研究[J].中华疝和腹壁外科杂志(电子版),2013,7(5):67-69. 被引量:3
  • 8邱晓峰,康杰,郭伯敏,邓先兆,丁政,伍波,樊友本,杨振熙.完全腹膜外疝修补术与经腹腹膜前疝修补术对比分析[J].中华疝和腹壁外科杂志(电子版),2014,8(4):26-28. 被引量:17
  • 9Krishna A,Misra MC,Bansal VK,et al.Laparoscopic inguinal hernia repair:transabdominal preperitoneal(TAPP)versus totally extraperitoneal(TEP)approach:a prospective randomized controlled trial[J].Surg Endosc,2012,26(3):639-649.
  • 10Gong K,Zhang N,Lu Y,et al.Comparison of the open tension-free mesh-plug,transabdominal preperitoneal(TAPP),and totally extraperitoneal(TEP)laparoscopic techniques for primary unilateral inguinal hernia repair:a prospective randomized controlled trial[J].Surg Endosc,2011,25(1):234-239.

二级参考文献32

  • 1邹立新,吴锦昌,洪峰,邱国威,黄建华,刘军雄,李晓,邹浩.低气腹压免钉合器固定腹腔镜腹膜外腹股沟疝修补术(附38例报告)[J].中国微创外科杂志,2007,7(12):1147-1148. 被引量:3
  • 2李亿程,黄磊,唐健雄,袁祖荣.无张力疝修补术治疗腹股沟嵌顿疝45例体会[J].中国普通外科杂志,2006,15(8):612-614. 被引量:52
  • 3Dasari B, Grant L, Irwin T. Immediate and long-term outcomes ofLichtenstein and Kugel patch operations for inguinal hemia repair.Ulster Med J, 2009, 78(2) :115-118.
  • 4McKeman JB,Laws HL. Laparoscopic repair of inguinal hernias usinga totally extraperitoneal prosthetic approach. Surg Endosc, 1992, 7(1) :26-28.
  • 5C, er R. The management of certain abdominal herniae by intra- abdominal closure of the neck of the sac [J]. Ann R Coil Surg Engl, 1982,64(5) :342-344.
  • 6Simons MP, Aufenacker T, Bay-Nielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients [J]. Hernia,2009,13(4):343-403.
  • 7Schouten N, Simmermaehcr RK, van Dalen T, et al. Is there an end of the "learning curve" of endoscopic totally extraperitoneal (TEP) hernia repair? [J]. Surg Endosc,2013, 27 (3) :789-794.
  • 8Sayad P, Hallak A, Fer'zli G. Laparoscopic herniorrhaphy: review of complications and recurrence[ J]. J Lapareendosc Adv Surg Tech A, 1998, 8 (1):3-10.
  • 9Bell RC, Prise JG. Laparescopic insuinal henia repair using an anatomically cotoured three-dimensional mesh [ J ]. Surg Endosc, 2003,17 ( 11 ) :1784-1788.
  • 10Bittner R, Schmedt CG, Schwa.rz J. Laparoseopic transperitoneal procedure for routine repair of groin hernia [ J ]. Br J Surg, 2002, 89(8) :1062-1066.

共引文献31

同被引文献105

引证文献12

二级引证文献80

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部