| Keyhole与Sugarbaker术治疗造口旁疝单中心十年疗效对比 |
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| 引用本文： | 王金申,刘景磊,石玉龙. Keyhole与Sugarbaker术治疗造口旁疝单中心十年疗效对比[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(6): 644-648. DOI: 10.3877/cma.j.issn.1674-392X.2022.06.008 |
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| 作者姓名： | 王金申 刘景磊 石玉龙 |
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| 作者单位： | 1. 250021 济南，山东第一医科大学附属山东省立医院胃肠外科 |
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| 基金项目： | 山东省自然科学基金(ZR2020MH221); 济南市临床医学创新计划(201704128) |
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| 摘 要： | 目的探讨造口旁疝不同手术方式的治疗效果。 方法回顾性分析2012-2022年山东省立医院收治的102例采用Keyhole或Sugarbaker术式进行造口旁疝修补患者的临床资料，其中Keyhole术40例，Sugarbaker术62例，根据是否为腹腔镜辅助又分为开放组21例，腔镜组81例。观察不同手术组在手术时间、住院时间、术中出血量、术后胃肠功能恢复时间以及腹胀、疼痛、切口感染、肠漏、肠梗阻、肠坏死等并发症，并随访术后复发情况。 结果手术时间：Keyhole组较Sugarbaker组长（P<0.05），开放组较腔镜组长（P<0.05）；腹胀发生率：开放组显著高于腔镜组（P<0.05）；其余指标虽有差异，但无统计学意义。 结论无论采用Keyhole还是Sugarbaker术式、开放或腹腔镜手术进行造口旁疝修补，在严重并发症和复发率方面都是相似的，采用Sugarbaker术较Keyhole术手术时间更短，Keyhole组复发率高，但差异无统计学意义。开放手术用时更长，术后腹胀情况更重。
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| 关 键 词： | 造口旁疝 疝修补术 疗效 |
| 收稿时间： | 2022-05-03 |
Comparison effect of Keyhole and Sugarbaker treatment for parastomal hernia for 10 years in single-center |
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| Jinshen Wang,Jinglei Liu,Yulong Shi. Comparison effect of Keyhole and Sugarbaker treatment for parastomal hernia for 10 years in single-center[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(6): 644-648. DOI: 10.3877/cma.j.issn.1674-392X.2022.06.008 |
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| Authors: | Jinshen Wang Jinglei Liu Yulong Shi |
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| Affiliation: | 1. Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China |
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| Abstract: | ObjectiveTo investigate the therapeutic effect of different surgical methods for parastomal hernia. MethodsClinical data from 102 patients treated with Keyhole or Sugarbaker surgery for parastomal hernia repair at Shandong Provincial Hospital over the last ten years (2012-2022) were analyzed retrospectively, with 40 patients treated with Keyhole surgery and 62 patients treated with Sugarbaker surgery. According to whether it was laparoscopically assisted or not, the patients were divided into an open surgery group (21 cases) and a laparoscopic surgery group (81 cases). The operation time, hospital stay, intraoperative blood loss, postoperative gastrointestinal function recovery time, abdominal distension, pain, incision infection, intestinal leakage, intestinal obstruction, intestinal necrosis and other complications in different operation groups were observed, and postoperative recurrence was followed up. ResultsThe operation time in the Keyhole surgery group was longer than that in the Sugarbaker surgery group, and that in open surgery group was longer than that in the laparoscopic surgery group. Meanwhile, the incidence of abdominal distension in the open surgery group was significantly higher than that in the laparoscopic surgery group. Although there were differences in other indicators, there was no statistical significance. ConclusionThe Keyhole or Sugarbaker procedures were similar in terms of severe complications and recurrence regardless of whether they were performed with open or laparoscopic surgery, but the open surgery took longer, the postoperative abdominal distension was more severe, and the Sugarbaker procedure took less time than the Keyhole group. Although the recurrence rate of the Keyhole group was high, it did not reach statistical significance. The open procedure took longer, and the postoperative abdominal distension was heavier. |
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| Keywords: | Parastomal hernia Hernia repair Treatment effect |
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