Zhao Zheng,Xi Hongwei.Efficacies of different surgical approaches for pediatric incarcerated inguinal hernia[J].Journal of Clinical Pediatric Surgery,,18():299-303.[doi:10.3969/j.issn.1671-6353.2019.04.010]
Efficacies of different surgical approaches for pediatric incarcerated inguinal hernia
- Keywords:
- Hernia Inguinal/SU; Minimally Invasive; Comparative Study
- CLC:
- R729;R656.2+1
- Abstract:
- Objective To explore the clinical application value of transumbilical laparoendoscopic single-site surgery (LESS) vs traditional open surgery for infantile incarcerated inguinal hernia (ⅡH).Methods Transumbilical laparoendoscopic single-site herniorrhaphy was performed in 58 pediatric ⅡH patients from January 2014 to February 2017.And another 55 pediatric patients underwent traditional open operation.The surgical outcomes of ⅡH patients were retrospectively analyzed and compared.Results Among them,57 children undertook laparoscopy while one converted into traditional open operation.The average operative duration was (25.5±10.5) min in transumbilical single-site laparoscopic group versus (37.0±15.2)min in open surgery group.And the difference was statistically significant (t=-5.756,P<0.05).The average incision length was (0.5±0.2) cm in transumbilical single-site laparoscopic group versus (3.5±1.5) cm in open surgery group.The difference was statistically significant (t=-18.487,P<0.05).The average volume of intraoperative blood loss was (2.5±2) mL in transumbilical single site laparoscopic group and (16.5±10.5) mL in laparotomy control group.And the difference was statistically significant (t=-11.772,P<0.05).The average postoperative exhaust time was (10.8±6.3)h in transumbilical single-site laparoscopic group versus (20±11.4) h in open surgery group.The difference was statistically significant (t=-6.547,P<0.05).The average length of hospital stay was (2.5±1.5) days in transumbilical single site laparoscopic group versus (4.5±1.5) days in open surgery control group.There were statistically significant differences (t=-8.676,P<0.05).The incidence of complications was 1.7% in transumbilical single-site laparoscopic group versus 9.09% in control group.There was statistically significant difference (χ2=0.081,P<0.05).Conclusion Transumbilical laparoendoscopic single-site surgery is safe,effective and mini-invasive for pediatric inguinal incarcerated hernia.
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Memo
收稿日期:2017-12-07。
基金项目:山西省卫生健康委员会一般项目（编号：2015062）
作者简介:赵正,Email:zhaozheng1_1_1@163.com