Laparoscopic percutaneous extraperitoneal closure with peritoneum reinforcement repair for pediatric inguinal hernia: a single-center experience with over 2,000 patients.
Laparoscopic percutaneous extraperitoneal closure with peritoneum reinforcement repair for pediatric inguinal hernia: a single-center experience with over 2,000 patients.
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腹腔镜经皮腹膜外闭合联合腹膜加固修复小儿腹股沟疝气：超过 2,000 名患者的单中心经验。
DOI：
10.21037/tp-21-25
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发表时间：
2021-05
影响因子：
2
通讯作者：
Zheng L
中科院分区：
文献类型：
--
作者：
Duan S;Zhang P;Lin X;Zheng L
腹股沟疝是婴幼儿的常见病，需要手术治疗。腹腔镜小儿腹股沟疝修补术已成为开放手术的替代方法。腹腔镜下经皮腹膜外疝修补术（LPECPR）是治疗小儿腹股沟疝的一种安全有效的方法，且复发率低。这是一项回顾性研究，介绍了我们对接受LPECPR的儿童的经验。回顾2011年7月至2020年12月在我院行LPECPR的腹股沟疝患者共2,018例。手术技术在腹腔镜经皮腹膜外闭合术（LPEC）的基础上进行了改进，通过腹股沟内环周围的两次循环闭合术进行腹膜外闭合。所有病例均完成了LPECPR，未进行转换。无术中并发症。共完成了2，018例患者的腹腔镜手术。单侧和双侧手术的平均手术时间分别为14和20 min。随访13.4个月（6-36个月），除3例复发（3/2,018，0.15%）外，无结反应、鞘膜积液、睾丸萎缩或疼痛等术后并发症。改良LPECPR法修补小儿腹股沟疝可获得较低的复发率。LPECPR的中期安全性和有效性已得到证实，可以作为常规程序。
Inguinal hernia is one of the common diseases in infants and children that requires operative treatment. Laparoscopic inguinal hernia repair in children has become an alternative to the open procedure. Laparoscopic percutaneous extraperitoneal closure with peritoneum reinforcement (LPECPR) is a safe and effective approach for pediatric inguinal hernia, and has a lower recurrence. This is a retrospective study to present our experience with children who underwent LPECPR. A total of 2,018 patients with inguinal hernia who underwent LPECPR in our hospital from July, 2011 to December, 2020 were reviewed. The surgical technique is modified on the basis of laparoscopic percutaneous extraperitoneal closure (LPEC) to close extraperitoneally by circuit suturing twice around the internal inguinal ring. All cases were completed LPECPR without conversion. There were no intraoperative complications. A total of 2,018 patients’ laparoscopic procedures were achieved. The mean operative time was 14 and 20 min for unilateral and bilateral operations, respectively. Follow-up to date is 13.4 months (6–36 months), there were no postoperative complications, such as knot reactions, hydrocele formation, testicular atrophy or pain, except 3 recurrences (3/2,018, 0.15%). This modified LPECPR technique can acquire lower recurrence rate for repair pediatric inguinal hernia. The midterm safety and efficacy of LPECPR are proven and it can be a routine procedure.
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DOI：
10.1089/lap.2014.0081
发表时间：
2014-03-01
影响因子：
1.3
作者：
Ostlie, Daniel J.;Ponsky, Todd A.
通讯作者：
Ponsky, Todd A.
影响因子：
1.7
作者：
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通讯作者：
Patkowski, Dariusz
DOI：
10.1007/s00464-015-4354-z
发表时间：
2016-04-01
影响因子：
3.1
作者：
Miyake, Hiromu;Fukumoto, Koji;Urushihara, Naoto
通讯作者：
Urushihara, Naoto
影响因子：
2
作者：
Grimsby, G. M.;Keays, M. A.;Jacobs, M. A.
通讯作者：
Jacobs, M. A.
影响因子：
1.8
作者：
Koivusalo, Antti I.
通讯作者：
Koivusalo, Antti I.