腹腔镜外科杂志2013，Vol.18Issue(2)：121-123,3.
手辅助腹腔镜结直肠癌术后切口疝的发生危险因素分析
Analysis the related risk factors of incisional hernia after hand-assisted laparoscopic surgery for colorectal cancer
摘要
Abstract
Objective;The aim of this study is to identify the predictive risk factors related to incisional hernia after hand-assisted laparoscopic surgery (HALS) for colorectal cancer. Additionally, this analysis has provided the necessary basis for the prevention of incisional hernia. Methods; The clinical data of 142 patients with colorectal cancer treated with HALS were analyzed retrospectively during a period from Aug. 2009 to Aug. 2012. Patients were divided into two groups according to whether a hernia developed at the hand-assist port site. Risk factors such as age,gender,body mass index (BMI) ,tobacco abuse,concomitant diseases,position and length of the incisions, wound infection were analyzed. Results;A total of 142 eligible patients were followed up?13 patients developed an incisional hernia for an incidence of 9. 2 percent. The incisional hernia incidence of patients with diabetes mellitus were significantly higher in the hernia-forming group than the non-hernia group (P＜0. 01). Mean BMI and tobacco use were also higher in the heraia-forming group. A low transverse incision was associated with the lower rate of incisional hernia compared with midline vertical incision. Conclusions : Diabetes mellitus, BMI, tobacco use and position of the incision are closely related risk factors of hernia development. Adequate perioperative preparation can effectively reduce the incidence of incisional hernia.关键词
结直肠肿瘤/腹腔镜检查/手辅助/切口疝/危险因素Key words
Colorectal neoplasms/ Laparoscopy/ Hand-assisted/ Incisional hernia/ Risk factors分类
医药卫生引用本文复制引用
王松松,苏艳华,谭晓杰,张建立..手辅助腹腔镜结直肠癌术后切口疝的发生危险因素分析[J].腹腔镜外科杂志,2013,18(2):121-123,3.
