实用临床医药杂志2024，Vol.28Issue(18)：17-20,26,5.DOI:10.7619/jcmp.20233790
肝肾脏器移植术后腹股沟疝的2种手术方式效果分析
Effects of two surgical approaches for inguinal hernia after liver and kidney transplantation
摘要
Abstract
Objective To compare the efficacy and safety of transabdominal preperitoneal hernia repair(TAPP)and open tension-free inguinal hernia repair(Lichtenstein technique)for inguinal hernia after liver and kidney transplantation.Methods A retrospective analysis was conducted on data of 17 patients with inguinal hernia after liver and kidney transplantation.According to the surgi-cal methods,14 patients with TAPP were assigned to experimental group 1,and 20 patients without a history of organ transplantation during the same period were assigned to control group 1.Additionally,3 patients with the Lichtenstein technique were assigned to experimental group 2,and 10 patients without a history of organ transplantation during the same period were assigned to control group 2.Sta-tistical analysis was performed to compare operation time,blood loss,and postoperative recovery,and to analyze the impacts of different organ transplantation on surgical method selection.Results The operation time in experimental group 1 was(50.17±14.52)minutes,which was significantly longer than(33.77±10.19)minutes in the control group 1(P＜0.05).No significant differences were observed between the two groups in terms of blood loss,postoperative ambulation time,and hospital discharge time(P＞0.05).In experimental group 2,the operation time was(41.87±12.55)mi-nutes and the blood loss was(10.78±7.56)mL,which was significantly longer than(27.14±10.64)minutes and higher than(5.40±1.56)mL in control group 2(P＜0.05).There were sig-nificant differences in surgical blood loss and hospital discharge time between experimental group 1 and experimental group 2(P＜0.05).Conclusion TAPP can improve surgical outcomes and safety,and reduce occurrence of complications.For patients with inguinal hernia after kidney transplantation combined with ureteral transplantation,the Lichtenstein technique is safer.关键词
腹股沟疝/腹腔镜/修补术/肝移植/肾移植Key words
inguinal hernia/laparoscopy/hernia repair/liver transplantation/kidney trans-plantation分类
医药卫生引用本文复制引用
牛磊,刘烺飚,武亚东,蔡军..肝肾脏器移植术后腹股沟疝的2种手术方式效果分析[J].实用临床医药杂志,2024,28(18):17-20,26,5.基金项目
北京市属医院临床医学发展专项基金(XM-LX201703) （XM-LX201703）
