摘要/Abstract
摘要: 随着医疗技术的迅速发展,通过腹腔镜手术进行腹股沟疝修补(LIHR)逐渐成为治疗腹股沟疝的主要方法。国内外关于LIHR的研究一直未停止,近年来在日间手术模式;单孔及机器人的实践、血清肿的预防、隐匿疝的治疗选择等均有成果。本综述搜索近年的原创及综述文章,旨在探讨LIHR的发展历程、研究热点以及面临的挑战和未来的发展方向,为临床医生以及对该领域感兴趣的学者提供价值参考。
关键词:
腹股沟疝,
腹腔镜腹股沟疝修补术,
腹腔镜经腹腹膜前修补术,
腹腔镜完全腹膜外疝修补术
Abstract: Laparoscopic inguinal hernia repair(LIHR) has progressively emerged as the primary approach for treating inguinal hernias. In recent years, notable progress has been made: day surgery for LIHR, Single-incision laparoscopic surgery (SILS) and robotic-assisted LIHR, prevention of seroma and treatment options for the occult inguinal hernia. This review aims to explore the developmental trajectory, current trends, challenges, and future development directions of LIHR by examining recent original articles and reviews. It is intended to provide reference for clinicians and scholars interested in this field.
Key words:
inguinal hernia,
laparoscopic inguinal hernia repair,
laparoscopic transabdominal preperitoneal repair,
totally extraperitoneal hernia repair
中图分类号:
R656.2
引用本文
邓雪涌, 徐继威. 腹腔镜腹股沟疝修补术的研究进展及热点分析[J]. 岭南现代临床外科, 2024, 24(02): 136-140.
DENG Xue-yong, XU Ji-wei. Advancements in research and analysis of current trends in laparoscopic inguinal hernia repair[J]. Lingnan Modern Clinics In Surgery, 2024, 24(02): 136-140.
使用本文
/
推荐
导出引用管理器 EndNote|Ris|BibTeX
链接本文:
http://www.lingnanwaike.com/CN/10.3969/j.issn.1009-976X.2024.02.010
http://www.lingnanwaike.com/CN/Y2024/V24/I02/136
参考文献
[1] 李芸, 陆建平, 李绍杰, 等. 腹股沟疝手术操作流程规范化发展与质量控制的研究进展[J]. 中华消化外科杂志, 2021, 20(7): 831-834.[2] 唐健雄, 李绍杰, 李绍春. 对我国疝与腹壁外科专业发展的思考[J]. 中华消化外科杂志, 2021, 20(1): 98-101.[3] 唐健雄, 李绍春. 特殊情况腹股沟疝外科治疗现状及展望[J]. 中国实用外科杂志, 2023, 43(6): 646-649.[4] 中华医学会外科学分会疝与腹壁外科学组, 中华医学会外科学分会腹腔镜与内镜外科学组, 大中华腔镜疝外科学院, 等. 腹腔镜腹股沟疝手术焦点问题中国专家共识(1)——术式选择[J]. 中国实用外科杂志, 2023, 43(6): 631-645.[5] Henri Fruchaud.Homme de bravoure, anatomiste et chirurgien[Henri Fruchaud (1894-1960), man of courage, anatomist and surgeon][J]. Hist Sci Med, 1997, 31(3-4):281-286.[6] Rives J, Nicaise H.A propos des hernies de l'aine et de leurs récidives[Apropos of inguinal hernias and their recurrences][J]. Sem Ther, 1966, 42(9): 526-528.[7] Read RC.Milestones in the history of hernia surgery:prosthetic repair[J]. Hernia, 2004, 8(1):8-14.[8] Arregui ME, Davis CJ, Yucel O, et al.Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report[J]. Surg Laparosc Endosc, 1992, 2(1): 53-58.[9] Phillips EH, Carroll BJ, Fallas MJ.Laparoscopic preperitoneal inguinal hernia repair without peritoneal incision. Technique and early clinical results[J]. Surg Endosc, 1993, 7(3):159-162.[10] Toy FK, Smoot RT Jr.Toy-Smooth laparoscopic hernioplasty[J]. Surg Laparosc Endosc, 1991, 1(3):151-155.[11] 综合医院日间手术室运行和管理中国专家共识(2022版)[J]. 中华消化外科杂志, 2022,21(09): 1173-1179.[12] Zhong Y, He M, Liu Z, et al.Efficacy of laparoscopic inguinal hernia in day surgery mode and inpatient surgery mode in China:A meta-analysis[J]. Medicine(Baltimore), 2023, 102(8):e32998.[13] Steger U, Bisping M, Urban J, et al.Minimalinvasive Leistenhernienchirurgie-TEP ambulant[DaySurgery for Endoscopic Inguinal Hernia Repair][J]. Zentralbl Chir, 2019, 144(1):26-31.[14] Guillaumes S, Hidalgo NJ, Bachero I, et al.Outpatient inguinal hernia repair in Spain:a population-based study of 1, 163, 039 patients-clinical and socioeconomic factors associated with thechoice of day surgery[J]. Updates Surg, 2023, 75(1):65-75.[15] 中国日间手术合作联盟疝和腹壁外科专业日间手术专家委员会, 《中华疝和腹壁外科杂志(电子版)》编辑委员会, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会, 等. 腹股沟疝日间手术规范化流程与标准中国专家指南(2023版)[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(5): 497-503.[16] 钟春林, 罗丹, 于颖娟, 等. 腹腔镜全腹膜外腹股沟疝修补术日间手术模式临床应用研究[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(1): 45-49.[17] Wakasugi M, Hasegawa J, Ikeda Y.Single-incision laparoscopic totally extraperitoneal inguinal hernia repair with tumescent localanesthesia:report of more than 2000 procedures at a day-surgery clinic[J]. Surg Today, 2021, 51(4):545-549.[18] Liu J, Zhang H, Qiao X, et al.The feasibility and safety of laparoscopic inguinal hernia repair as a 24-h day surgery for patients aged 80 years and older:a retrospective cohort study[J]. Hernia, 2023, 27(6):1533-1541.[19] 张良燕, 曹桢, 刘子嘉, 成人腹股沟疝日间手术麻醉管理[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(1): 25-29.[20] 杨志敏, 医护患一体化护理在日间腹股沟疝修补术患者中的应用. 国际护理学杂志[J], 2024,43(1): 70-73.[21] Bracale U,Melillo P,Pignata G, et al.Which is the best laparoscopic approach for inguinal hernia repair:TEP or TAPP?A systematic review of the literature with a network meta-analysis[J]. Surg Endosc, 2012, 26(12):3355-3366.[22] KAiolfi A,Cavalli M,Ferraro SD, et al.Treatment of inguinal hernia:systematic review and updated network meta-analysis of randomized controlled trials[J]. Ann Surg,2021, 274(6): 954-961.[23] Bittner R,Arregui ME,Bisgaard T,et al.Guidelines for laparoscopic(TAPP) and endoscopic (TEP) treatment of inguinal hernia[International Endohernia Society (IEHS)][J]. Surg Endosc, 2011, 25(9):2773-2843.[24] Filipovic-Cugura J, Kirac I, Kulis T, et al.Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair:first case[J]. Surg Endosc, 2009, 23(4):920-921.[25] Prassas D, Rolfs TM, Vaghiri S, et al.Single-port versus multi-port totally extraperitoneal (TEP)inguinal hernia repair:A meta-analysis of randomized controlledtrials[J]. Medicine (Baltimore), 2022, 101(45):e30820.[26] 黄亮亮, 吴卫东, 王廷峰.后鞘后单孔腹腔镜腹股沟疝修补术中完全可视化建腔技术的应用[J]. 中华腔镜外科杂志(电子版), 2023,16(4): 216-219.[27] 孟飞龙, 华帅, 张莹, 等. 经脐单孔腹腔镜后鞘后入路在全腹膜外腹股沟疝修补术中的应用[J]. 中华普外科手术学杂志(电子版),2023,17(6): 658-660.[28] Finley DS, Rodriguez E Jr, Ahlering TE.Combined inguinal hernia repair with prosthetic mesh during transperitoneal robot assisted laparoscopic radical prostatectomy:a 4-year experience[J]. J Urol, 2007, 178(4 Pt 1):1296-1300.[29] Escobar Dominguez JE, Ramos MG, Seetharamaiah R, et al.Feasibility of robotic inguinal hernia repair, a single-institution experience[J]. Surg Endosc, 2016, 30(9):4042-4048.[30] 刘竞, 智迎辉, 肖海涛, 等. 机器人辅助腹腔镜经腹膜前间隙腹股沟疝修补术的临床分析[J]. 中华医学杂志, 2020,100(36): 2858-2858.[31] Li X, Li YJ, Dong H, et al.Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia[J]. PLoS One, 2024, 19(2):e0298989.[32] Solaini L, Cavaliere D, Avanzolini A, et al.Robotic versus laparoscopic inguinal hernia repair:an updated systematic review and meta-analysis[J]. J Robot Surg,2022, 6(4):775-781.[33] Prabhu AS, Carbonell A, Hope W, et al.Robotic Inguinal vs Transabdominal Laparoscopic Inguinal Hernia Repair:The RIVAL Randomized Clinical Trial[J]. JAMA Surg, 2020, 155(5):380-387.[34] Reddy VM, Sutton CD, Bloxham L, et al.Laparoscopic repair of direct inguinal hernia:a new technique that reduces the development of postoperative seroma[J]. Hernia, 2007, 11(5): 393-396.[35] Morito A, Kosumi K, Kubota T, et al.Investigation of risk factors for postoperative seroma/hematoma after TAPP[J]. Surg Endosc, 2022, 36(7):4741-4747.[36] 莫宇轩, 汤凌佳. 倒刺线缝合假性疝囊预防直疝术后血清肿应用研究[J]. 岭南现代临床外科, 2022, 22(4): 363-368.[37] 李嵩, 林晖. 腹腔镜腹股沟斜疝修补术中关闭疝环的临床意义[J]. 中国微创外科杂志, 2023, 23(11): 824-829.[38] 李炳根, 龚独辉, 赖泽如, 等. 腹腔镜腹股沟斜疝无张力修补术中疝环关闭技术的应用[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(3): 219-222.[39] Chai SW, Chiang PH, Chien CY, et al.Sac transection versus sac reduction during laparoscopic herniorrhaphy:a systematic review and meta-analysis[J]. Asian J Surgavr, 2022, 45(4):981-986.[40] Stylianidis G, Haapamaki MM, Sund M, et al.Management of the hernial sac in inguinal hernia repair[J]. Br J Surg, 2010, 97(3):415-419.[41] 张翔, 林凯, 潘勇, 等. 日间疝修补术后不同加压方式对血清肿预防的差异研究[J]. 中华疝和腹壁外科杂志(电子版), 2024,18(1): 65-69.[42] 刘小胜, 陈学彬, 马宁, 等. 低温芒硝序贯疗法预防TAPP术后血清肿发生的疗效观察[J]. 岭南现代临床外科, 2022, 22(5): 475-479.[43] Imai Y, Hiramatsu M, Kobayashi T, et al.Comparing the Incidences of Occult Contralateral Hernia under Laparo-Endoscopic Techniques and of Contralateral Metachronous Hernia after a Unilateral Groin Hernia Repair in Open Technique[J]. Am Surg, 2019, 85(2):196-200.[44] Glorieux R, Van Aerde M, Vissers S, et al.Incidence and risk factors of metachronous contralateral inguinal hernia development up to 25 years after unilateral inguinal hernia repair:a single-centre retrospective cohort study[J]. Surg Endosc, 2024, 38(3):1170-1179.[45] Dhanani NH, Olavarria OA, Wootton S, et al. Contralateral exploration and repairof occult inguinal hernias during laparoscopic inguinal hernia repair:systematic review and Markov decision process[J]. BJS Open, 2021, 5(2):zraa020.[46] Felix EL.The occult inguinal hernia:To fix or not to fix? That is the question[J]. Gen Surg News, 2022, 4(25):15-32.[47] Reistrup H, Fonnes S, Rosenberg J.Watchful waiting vs repair for asymptomatic or minimally symptomatic inguinal hernia in men:a systematic review[J]. Hernia, 2021, 25(5):1121-1128.[48] Jarrard JA, Arroyo MR, Moore BT.Occult contralateral inguinalhernias:what is their true incidence and should they be repaired?[J]. Surg Endosc, 2019, 33(8):2456-2458.
相关文章 15
[1]
李英儒, 甘文昌, 杨伟胜, 江志鹏, 周太成, 侯泽辉, 马宁, 陈双. 简化腹股沟区解剖理念在腔镜腹股沟疝修补术中的临床应用[J]. 岭南现代临床外科, 2021, 21(06): 651-653.
[2]
甘文昌, 李英儒, 周太成, 江志鹏, 侯泽辉, 马宁, 陈双. 成人腹股沟疝囊内面病理及细菌学观察[J]. 岭南现代临床外科, 2021, 21(05): 531-534.
[3]
詹尚欣, 刘鑫斌, 古旭莹, 江水华, 陈锭光, 张琳. 腔镜腹股沟疝修补术后并发血清肿的相关因素及防治策略探析[J]. 岭南现代临床外科, 2020, 20(06): 715-718.
[4]
梁文丰, 周建平, 廖子聪, 汤治平. 腹膜主动切开技术在腔镜全腹膜外疝修补术中保留子宫圆韧带的应用[J]. 岭南现代临床外科, 2020, 20(05): 577-581.
[5]
叶伟恒, 梁俊杰, 罗迦耀, 胡友主. 成人腹股沟疝外科治疗的个体化方案选择[J]. 岭南现代临床外科, 2020, 20(05): 650-653.
[6]
宋小锐, 林齐睿, 周万邦, 钟立明, 尹耀新, 熊沛, 欧希, 林泽伟, 刘吉奎, 刘晓平. 经腹探查全腹膜外腹腔镜腹股沟疝修补术的临床研究[J]. 岭南现代临床外科, 2020, 20(04): 416-420.
[7]
仵永泉, 石毅军, 邓静, 张周文, 张彩云. 腹腔镜经腹腹膜前修补术对睾丸血供及生精功能影响的临床研究[J]. 岭南现代临床外科, 2020, 20(04): 480-483.
[8]
李佳奇, 姜海平. 局麻腹膜前间隙修补术在老年腹股沟疝的治疗进展[J]. 岭南现代临床外科, 2020, 20(04): 535-539.
[9]
刘业星, 张冬辉, 庄哲宏, 张剑宝, 梁智浩. Lichtenstein疝修补术治疗长期使用抗凝药物的老年腹股沟疝病人的临床观察[J]. 岭南现代临床外科, 2019, 19(05): 559-562.
[10]
黄进团,陈伟立,杨和验. TAPP术式中不同补片的使用效果和经验[J]. 岭南现代临床外科, 2019, 19(03): 272-275.
[11]
陈秋凯,吴海丰,郑旭青,谢阗,袁阳春. 开放式腹膜前间隙UHS疝修补术与Lichtenstein修补术后并发症分析[J]. 岭南现代临床外科, 2019, 19(03): 276-284.
[12]
张士节1,3, 田佩凯2, 藏守阁3, 刘晓平1,3*, 欧希3, 刘吉奎3. 腹腔镜下完全腹膜外疝修补术治疗老年单侧腹股沟疝的随机对照研究[J]. 岭南现代临床外科, 2019, 19(01): 52-56.
[13]
汤福鑫,周太成,江志鹏,李英儒,马宁,甘文昌,侯泽辉,余卓敏,刘伟,陈双*. 经腹腔腹膜前与完全腹膜外入路腹股沟疝修补术后2 年的队列研究[J]. 岭南现代临床外科, 2018, 18(05): 518-523.
[14]
陈文锋,郑喜岳,黄鹏. Gilbert术式与Lichtenstein、Rutkow术式在治疗Ⅲ型腹股沟疝中的比较[J]. 岭南现代临床外科, 2018, 18(05): 524-527.
[15]
刘国华,卢伟坚,廖波,程峰宝,李开峰. 局麻与硬膜外麻醉下聚丙烯材料补片应用腹股沟疝修补术效果及慢性疼痛调查—— 基层医院经验[J]. 岭南现代临床外科, 2018, 18(05): 562-565.
编辑推荐
Metrics
阅读次数
全文
摘要