{"title":"矫正年龄3个月的腹腔镜与开放式疝修补术","authors":"Y. Cho, D. Kim","doi":"10.13029/JKAPS.2017.23.2.48","DOIUrl":null,"url":null,"abstract":"Purpose: Inguinal hernia in early infant is a challenging surgical condition. This study aims to evaluate the efficacy and safety of laparoscopic inguinal hernia repair (LH) for small babies in corrected age 3 months compared with the traditional open inguinal hernia repair (OH). Methods: Medical records were retrospectively reviewed in 232 pediatric patients under corrected age 3 months who underwent inguinal hernia repair from January 1, 2013 to December 31, 2015. The chi-squared and Fisher’s exact test were used to analyze the results of the study. Results: As for operative time, in unilateral/bilateral inguinal hernia repair, OH is faster than LH (p<0.05 vs. p=0.06). But operation time gap is shorter in bilateral hernia than unilateral hernia. As for operation site, bilateral inguinal hernia case was more performed in LH than OH (p<0.05). For comparison with the spontaneous breathing recovery time, there was no statistical difference between the two techniques (p=0.96). As for the recurrence rate, no significant difference was observed between the two techniques (p=0.36), whereas the relative risk of recurrence was higher for OH compared with LH (OR=1.56). Conclusion: LH is also feasible and safe procedure as OH for small babies in corrected age 3 months for experienced pediatric surgeons.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"6 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months\",\"authors\":\"Y. Cho, D. Kim\",\"doi\":\"10.13029/JKAPS.2017.23.2.48\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose: Inguinal hernia in early infant is a challenging surgical condition. This study aims to evaluate the efficacy and safety of laparoscopic inguinal hernia repair (LH) for small babies in corrected age 3 months compared with the traditional open inguinal hernia repair (OH). Methods: Medical records were retrospectively reviewed in 232 pediatric patients under corrected age 3 months who underwent inguinal hernia repair from January 1, 2013 to December 31, 2015. The chi-squared and Fisher’s exact test were used to analyze the results of the study. Results: As for operative time, in unilateral/bilateral inguinal hernia repair, OH is faster than LH (p<0.05 vs. p=0.06). But operation time gap is shorter in bilateral hernia than unilateral hernia. As for operation site, bilateral inguinal hernia case was more performed in LH than OH (p<0.05). For comparison with the spontaneous breathing recovery time, there was no statistical difference between the two techniques (p=0.96). As for the recurrence rate, no significant difference was observed between the two techniques (p=0.36), whereas the relative risk of recurrence was higher for OH compared with LH (OR=1.56). Conclusion: LH is also feasible and safe procedure as OH for small babies in corrected age 3 months for experienced pediatric surgeons.\",\"PeriodicalId\":164943,\"journal\":{\"name\":\"Journal of Korean Association of Pediatric Surgeons\",\"volume\":\"6 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Korean Association of Pediatric Surgeons\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.13029/JKAPS.2017.23.2.48\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Korean Association of Pediatric Surgeons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13029/JKAPS.2017.23.2.48","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
摘要
目的:婴儿早期腹股沟疝是一种具有挑战性的手术条件。本研究旨在评价腹腔镜腹股沟疝修补术(LH)与传统开放式腹股沟疝修补术(OH)对矫正3月龄小婴儿的疗效和安全性。方法:回顾性分析2013年1月1日至2015年12月31日232例矫正年龄小于3个月的小儿腹股沟疝修补术的病历。采用卡方检验和Fisher精确检验对研究结果进行分析。结果:手术时间方面,在单侧/双侧腹股沟疝修补中,OH比LH快(p<0.05 vs. p=0.06)。但双侧疝手术时间比单侧疝短。在手术部位上,双侧腹股沟疝患者LH组多于OH组(p<0.05)。两种方法的自主呼吸恢复时间比较,差异无统计学意义(p=0.96)。两种方法的复发率差异无统计学意义(p=0.36),而OH的相对复发率高于LH (OR=1.56)。结论:对于经验丰富的儿科医生来说,对于矫正3月龄的小婴儿,LH也是可行且安全的手术。
Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months
Purpose: Inguinal hernia in early infant is a challenging surgical condition. This study aims to evaluate the efficacy and safety of laparoscopic inguinal hernia repair (LH) for small babies in corrected age 3 months compared with the traditional open inguinal hernia repair (OH). Methods: Medical records were retrospectively reviewed in 232 pediatric patients under corrected age 3 months who underwent inguinal hernia repair from January 1, 2013 to December 31, 2015. The chi-squared and Fisher’s exact test were used to analyze the results of the study. Results: As for operative time, in unilateral/bilateral inguinal hernia repair, OH is faster than LH (p<0.05 vs. p=0.06). But operation time gap is shorter in bilateral hernia than unilateral hernia. As for operation site, bilateral inguinal hernia case was more performed in LH than OH (p<0.05). For comparison with the spontaneous breathing recovery time, there was no statistical difference between the two techniques (p=0.96). As for the recurrence rate, no significant difference was observed between the two techniques (p=0.36), whereas the relative risk of recurrence was higher for OH compared with LH (OR=1.56). Conclusion: LH is also feasible and safe procedure as OH for small babies in corrected age 3 months for experienced pediatric surgeons.