Long-term outcomes of pediatric laparoscopic needled-assisted inguinal hernia repair: A 10-year experience.
Long-term outcomes of pediatric laparoscopic needled-assisted inguinal hernia repair: A 10-year experience.
复制标题
DOI：
10.1016/j.jpedsurg.2020.09.022
复制
发表时间：
2021-01
影响因子：
2.4
通讯作者：
Lesher AP
中科院分区：
文献类型：
--
作者：
Garcia DI;Baker C;Patel S;Hebra AV;Cina RA;Streck CJ;Lesher AP
腹腔镜腹股沟疝修补术（LIHR）在过去的十年中得到了广泛的接受，尽管缺乏长期随访的研究。我们介绍了接受腹腔镜针辅助修复术（LNAR）的最大儿童队列之一，并进行了长期随访。维护了2009年至2017年期间接受腹腔镜针辅助修复术的14岁以下儿童的临床质量数据库，并对2019年的随访进行了审查。审查了去识别数据。在10年期间，纳入了1023例患者（1457 LNAR）。手术时的平均年龄为2.56岁（2天至14岁）。总体疝复发率为0.75%（11/1457）。共有4例术后鞘膜积液需要干预。孕龄<60周的早产儿修补术复发率（0.63%）明显低于其他类型的患者（0.82%）（P < 0.01）。64.2%的患者接受了超过11年的临床随访，平均随访时间为5.97年。我们提出了一个大的队列研究，连续小儿腹腔镜疝修补术后超过11年的时间。LNAR对足月和早产患者安全有效，并发症发生率与其他技术相似，包括开放修复。此外，我们的研究结果表明，早产儿可能有上级的结果与这种方法。III级-回顾性比较研究。
Laparoscopic inguinal hernia repair (LIHR) has gained wide acceptance over the past decade, although studies with longer term follow-up are lacking. We present one of the largest cohorts of children undergoing laparoscopic needle-assisted repair (LNAR) with long-term follow-up. A clinical quality database was maintained for children <14 years of age who underwent laparoscopic needle-assisted repair between 2009 and 2017 with review of follow-up through 2019. De-identified data was reviewed. 1023 patients with 1457 LNAR were included during the 10-year period. Mean age at surgery was 2.56 years (2 days to14 years). The overall hernia recurrence rate was 0.75% (11/1457). A total of four postoperative hydroceles required intervention. Preterm infant repair done <60w post conceptional age had a significantly lower recurrence rate (0.63%) than other patients (0.82%) (p < 0.01). 64.2% of patients had clinical follow-up over a period of 11 years with a mean follow-up of 5.97 years. We present a large cohort study of consecutive pediatric laparoscopic hernia repairs followed over an 11-year period. LNAR is safe and effective for term and preterm patients with similar complication rates to other techniques, including open repair. Additionally, our results suggest that preterm infants may have superior outcomes with this method. Level III - Retrospective Comparative Study.
登录
查看更多内容
影响因子：
1.8
作者：
Shalaby R;Ibrahem R;Shahin M;Yehya A;Abdalrazek M;Alsayaad I;Shouker MA
通讯作者：
Shouker MA
影响因子：
1.8
作者：
Chan, I. H. Y.;Lau, C. T.;Tam, P. K. H.
通讯作者：
Tam, P. K. H.
DOI：
10.1089/lap.2012.0183
发表时间：
2013-04-01
影响因子：
1.3
作者：
Cho, Alexander;Devany, Adam;Tsang, Thomas
通讯作者：
Tsang, Thomas
DOI：
10.1007/s00464-014-3739-8
发表时间：
2015-04-01
影响因子：
3.1
作者：
McClain, Lauren;Streck, Christian;Hebra, Andre
通讯作者：
Hebra, Andre
DOI：
10.1007/s00464-009-0645-6
发表时间：
2010-01-01
影响因子：
3.1
作者：
Tsai, Yao Chou;Wu, Chao-Chuan;Yang, Stephen Shei-Dei
通讯作者：
Yang, Stephen Shei-Dei