复发性腹股沟疝不同手术方法的比较分析:一项单中心观察性研究。

IF 1.2 4区 医学 Q3 SURGERY
Mi Jeong Choi, Kang-Seok Lee, Heung-Kwon Oh, Sang-Hoon Ahn, Hong-Min Ahn, Hye-Rim Shin, Tae-Gyun Lee, Min Hyeong Jo, Duck-Woo Kim, Sung-Bum Kang
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引用次数: 0

摘要

目的:治疗复发性腹股沟疝非常复杂,选择正确的手术方法(腹腔镜与开腹手术)对患者的治疗效果至关重要。本研究比较了使用相同手术方法与不同手术方法进行初次和后续疝修补术的疗效:我们对 2014 年 1 月至 2023 年 5 月期间在首尔大学盆唐医院接受复发性腹股沟疝修补术的患者进行了回顾性分析。患者被分为 "一致 "组和 "不一致 "组,分别接受了两次手术中相同方法和不同方法的患者。对术前基线特征、索引手术数据、术后结果和复发率进行了分析和比较:共有131名患者入选;一致组和不一致组分别有31名(开腹组,n = 19;腹腔镜组,n = 12)和100名患者(开腹组转腹腔镜组,n = 68;腹腔镜组转开腹组,n = 32)。在平均手术时间(50.5 ± 21.7 分钟 vs. 50.2 ± 20.0 分钟,P = 0.979)、并发症发生率(6.5% vs. 14.0%,P = 0.356)或 36 个月累积复发率(9.8% vs. 9.8%,P = 0.865)方面未观察到明显差异。不一致组的术后平均住院时间明显短于一致组(1.8 ± 0.7 vs. 1.4 ± 0.6,P = 0.003):结论:大多数复发性腹股沟疝修补术都是采用不协调手术方法进行的。总体而言,手术方式的一致性对术后效果没有显著影响。因此,根据患者的病情和外科医生的偏好选择手术方法可能是明智之举。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative analysis of different surgical approaches for recurrent inguinal hernia: a single-center observational study.

Purpose: Managing recurrent inguinal hernias is complex, and choosing the right surgical approach (laparoscopic vs. open) is vital for patient outcomes. This study compared the outcomes of using the same vs. different surgical approaches for initial and subsequent hernia repairs.

Methods: We retrospectively analyzed patients who underwent recurrent inguinal hernia repair at Seoul National University Bundang Hospital between January 2014 and May 2023. Patients were divided into the "concordant" and "discordant" groups, comprising patients who underwent same and different approaches in both surgeries, respectively. Preoperative baseline characteristics, index surgery data, postoperative outcomes, and recurrence rates were analyzed and compared.

Results: In total, 131 patients were enrolled; the concordant and discordant groups comprised 31 (open, n = 19; laparoscopic, n = 12) and 100 patients (open to laparoscopic, n = 68; laparoscopic to open, n = 32), respectively. No significant differences were observed in the mean operation time (50.5 ± 21.7 minutes vs. 50.2 ± 20.0 minutes, P = 0.979), complication rates (6.5% vs. 14.0%, P = 0.356), or 36-month cumulative recurrence rates (9.8% vs. 9.8%; P = 0.865). The mean postoperative hospital stay was significantly shorter in the discordant than in the concordant group (1.8 ± 0.7 vs. 1.4 ± 0.6, P = 0.003).

Conclusion: Most recurrent inguinal hernia repairs were performed using the discordant surgical approach. Overall, concordance in the surgical approach did not significantly affect postoperative outcomes. Therefore, the selection of the surgical approach based on the patient's condition and surgeon's preference may be advisable.

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来源期刊
CiteScore
2.30
自引率
7.10%
发文量
75
期刊介绍: Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).
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