双侧腹股沟疝的腹腔镜疝修补术。

A Kald, E Domeij, S Landin, M Wirén, B Anderberg
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引用次数: 30

摘要

目的:比较单侧和双侧腹腔镜疝修补术的效果。设计:前瞻性连续试验。地点:瑞典大学医院。对象:腹腔镜下单侧疝修补术380例,双侧疝修补术64例。两组患者的中位(范围)年龄分别为56(21-86)岁和61(30-85)岁,中位(范围)随访时间为42(24-58)个月。主要观察指标:手术时间、住院时间、并发症和恢复时间。结果:单侧组手术时间中位(范围)为70(25-240)分钟,双侧组为113(55-330)分钟。两组间并发症发生率、复发率及完全恢复时间无显著差异。结论:腹腔镜手术是治疗双侧腹股沟疝的较好方法。
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Laparoscopic hernia repair in patients with bilateral groin hernias.

Objective: To compare outcome of unilateral and bilateral laparoscopic hernia repair.

Design: Prospective consecutive trial.

Setting: University hospital, Sweden.

Subjects: 380 patients who had unilateral hernias repaired laparoscopically and 64 patients who had bilateral hernias repaired. The median (range) age in the two groups was 56 (21-86) and 61 (30-85) years, respectively and the median (range) follow-up was 42 (24-58) months.

Main outcome measures: Operating time, hospital stay, complications, and time to recovery.

Results: The median (range) operating time was 70 (25-240) minutes in the unilateral and in the bilateral group 113 (55-330) minutes. The complication rate, recurrence rate, and time to full recovery did not differ between the groups.

Conclusion: The laparoscopic approach seems to be a good option for patients with bilateral inguinal hernias.

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