지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.1
- 발행연도
- 2021.1
- 수록면
- 47 - 53 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Although there are many articles about single incision laparoscopic (SIL) hernioplasty, a large-scale study or article about its long-term outcome has not been reported yet. The aim of this study is to assess short- and long-term outcomes of SIL totally extraperitoneal (TEP) hernia repair with large number of cases.
Methods: A prospectively collected database containing details of 1,231 procedures in 1,129 consecutive patients who underwent SIL-TEP hernia repair between June 2010 and December 2017 at a single institution was retrospectively analyzed. SIL-TEP hernia repair was performed using a glove single port device and standard laparoscopic instruments. Recurrence rate of SIL-TEP hernia repair was analyzed by a telephone questionnaire.
Results: Among 1,129 patients, 1,027 (91.0%) had unilateral hernia and 102 (9.0%) had bilateral hernia. There were 12 (1.1%) conversions to single or 3 ports laparoscopic transabdominal preperitoneal hernioplasty or Lichtenstein repair. Mean operative time was 40.3 minutes for unilateral hernia and 61.6 minutes for bilateral hernia. Intraoperative complication rate was 21.8%. Most intraoperative complications were peritoneum or sac tearing (20.1%). Postoperative complications occurred in 97 (8.6%) cases, most of which were minor morbidity except for 1 mesh infection. Five-year recurrence rate was 4%.
Conclusion: SIL-TEP hernia repair is safe and technically feasible with acceptable short- and long-term outcomes. Large-scale randomized controlled trials comparing SIL-TEP hernia repair with conventional laparoscopic TEP are needed to confirm these results.
Methods: A prospectively collected database containing details of 1,231 procedures in 1,129 consecutive patients who underwent SIL-TEP hernia repair between June 2010 and December 2017 at a single institution was retrospectively analyzed. SIL-TEP hernia repair was performed using a glove single port device and standard laparoscopic instruments. Recurrence rate of SIL-TEP hernia repair was analyzed by a telephone questionnaire.
Results: Among 1,129 patients, 1,027 (91.0%) had unilateral hernia and 102 (9.0%) had bilateral hernia. There were 12 (1.1%) conversions to single or 3 ports laparoscopic transabdominal preperitoneal hernioplasty or Lichtenstein repair. Mean operative time was 40.3 minutes for unilateral hernia and 61.6 minutes for bilateral hernia. Intraoperative complication rate was 21.8%. Most intraoperative complications were peritoneum or sac tearing (20.1%). Postoperative complications occurred in 97 (8.6%) cases, most of which were minor morbidity except for 1 mesh infection. Five-year recurrence rate was 4%.
Conclusion: SIL-TEP hernia repair is safe and technically feasible with acceptable short- and long-term outcomes. Large-scale randomized controlled trials comparing SIL-TEP hernia repair with conventional laparoscopic TEP are needed to confirm these results.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
Lichtenstein IL / 1989 / The tension-free hernioplasty / Am J Surg 157:188~193
Corbitt JD Jr / 1991 / Laparoscopic herniorrhaphy / Surg Laparosc Endosc 1:23~25
Bullen NL / 2019 / Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia:a systematic review with meta-analysis and trial sequential analysis / Hernia 23:461~472
Perivoliotis K / 2019 / Current status of singleport versus multi-port approach in laparoscopic inguinal hernia mesh repair:an up-to-date systematic review and meta-analysis / Hernia 23:217~233
Lau H / 2002 / Management of peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty / Surg Endosc 16:1474~1477
Corbitt JD Jr / 1991 / Laparoscopic herniorrhaphy / Surg Laparosc Endosc 1:23~25
Bullen NL / 2019 / Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia:a systematic review with meta-analysis and trial sequential analysis / Hernia 23:461~472
Perivoliotis K / 2019 / Current status of singleport versus multi-port approach in laparoscopic inguinal hernia mesh repair:an up-to-date systematic review and meta-analysis / Hernia 23:217~233
Lau H / 2002 / Management of peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty / Surg Endosc 16:1474~1477
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