|
|
对于超重和肥胖患者腹腔镜腹股沟疝修补术的研究现状
|
Abstract:
腹股沟疝是普通外科的常见病，手术是治疗该疾病的最有效方法，随着腹腔镜技术的发展，腹腔镜经腹膜前修补术(TAPP)与完全腹膜外修补术(TEP)因其创伤小、住院时间短、术后恢复快等优势在临床上被广泛应用。但是对于超重和肥胖患者，因其特点与正常体重患者不同，两种术式的疗效是否存在差异，目前尚不明确。因此，本文通过复习国内外文献，对超重和肥胖患者腹腔镜疝修补术的治疗现状进行总结论述。
Inguinal hernia is a common disease in general surgery, and operation is the most effective method for the treatment of this disease. With the development of laparoscopic technology, laparoscopic preperitoneal repair (TAPP) and complete extraperitoneal repair (TEP) have been widely used in clinic because of their advantages such as less trauma, short hospital stay and quick postoperative recovery. However, for overweight and obese patients, because their characteristics are different from those of normal weight patients, it is not clear whether there is a difference in the efficacy of the two methods. Therefore, by reviewing the literature at home and abroad, this paper summariz-es the current situation of laparoscopic herniorrhaphy for overweight and obese patients.
| [1] | Kingsnorth, A. and Leblanc, K. (2003) Hernias: Inguinal and Incisional. The Lancet, 362, 1561-1571.
https://doi.org/10.1016/S0140-6736(03)14746-0 |
| [2] | 中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科医师委员会. 成人腹股沟疝诊断和治疗指南(2018年版) [J]. 中华外科杂志, 2018, 56(7): 495-498. |
| [3] | 顾岩, 张鹏, 李航宇, 翁山耕. 肥胖合并腹壁疝外科治疗中国专家共识(2021版) [J]. 中国实用外科杂志, 2021, 41(4): 361-366. |
| [4] | De Raet, J., Delvaux, G., Haentjens, P. and Van Nieuwenhove, Y. (2008) Waist Circumference Is an Independent Risk Factor for the Development of Parastomal Hernia after Permanent Colosto-my. Diseases of the Colon and Rectum, 51, 1806-1809. https://doi.org/10.1007/s10350-008-9366-5 |
| [5] | Aquina, C.T., Rickles, A.S., Probst, C.P., Kelly, K.N., Deeb, A.P., Monson, J.R., et al. (2015) Visceral Obesity, Not Elevated BMI, Is Strongly Associated With Incisional Hernia after Colorectal Surgery. Diseases of the Colon and Rectum, 58, 220-227. https://doi.org/10.1097/DCR.0000000000000261 |
| [6] | Rosa, D.F., Sarandy, M.M., Novaes, R.D., Freitas, M.B., do Carmo Gouveia Pelúzio, M., Gon？alves, R.V. (2018) High-Fat Diet and Alcohol Intake Promotes In-flammation and Impairs Skin Wound Healing in Wistar Rats. Mediators of Inflammation, 2018, Article ID: 4658583. https://doi.org/10.1155/2018/4658583 |
| [7] | Rasmussen, M.H., Jensen, L.T., Andersen, T., Breum, L. and Hilsted, J. (1995) Collagen Metabolism in Obesity: The Effect of Weight Loss. International Journal of Obesity and Related Metabolic Disorders, 19, 659-663. |
| [8] | 李航宇. 疝和腹壁外科相关基础研究现状及未来方向[J]. 中国实用外科杂志, 2021, 41(1): 85-88.. |
| [9] | Regner, J.L., Mrdutt, M.M. and Munoz-Maldonado, Y. (2015) Tailoring Surgical Ap-proach for Elective Ventral Hernia Repair Based on Obesity and National Surgical Quality Improvement Program Out-comes. The American Journal of Surgery, 210, 1024-1030. https://doi.org/10.1016/j.amjsurg.2015.08.001 |
| [10] | Datta, T., Eid, G., Nahmias, N. and Dallal, R.M. (2008) Man-agement of Ventral Hernias during Laparoscopic Gastric Bypass. Surgery for Obesity and Related Diseases, 4, 754-757. https://doi.org/10.1016/j.soard.2008.03.246 |
| [11] | Spaniolas, K., Kasten, K.R., Mozer, A.B., Sippey, M.E., Chap-man, W.H., Pories, W.J., et al. (2015) Synchronous Ventral Hernia Repair in Patients Undergoing Bariatric Surgery. Obesity Surgery, 25, 1864-1868.
https://doi.org/10.1007/s11695-015-1625-7 |
| [12] | Lau, B., Kim, H., Haigh, P.I. and Tejirian, T. (2012) Obesity In-creases the Odds of Acquiring and Incarcerating Noninguinal Abdominal Wall Hernias. The American Surgeon, 78, 1118-1121.
https://doi.org/10.1177/000313481207801024 |
| [13] | Tan, W.P., Lavu, H., Rosato, E.L., Yeo, C.J. and Cowan, S.W. (2013) Edoardobassini (1844-1924): Father of Modern-Day Hernia Surgery. The American Surgeon, 79, 1131-1133. https://doi.org/10.1177/000313481307901112 |
| [14] | Amato, B., Moja, L., Panico, S., Persico, G., Rispoli, C., Rocco, N., et al. (2012) Shouldice Technique versus Other Open Techniques for Inguinal Hernia Repair. Cochrane Da-tabase of Systematic Reviews, No. 4, Article No. CD001543.
https://doi.org/10.1002/14651858.CD001543.pub4 |
| [15] | 陈双, 唐健雄, 王小强, 王荫龙, 李绍杰. Lichtenstein手术规范化操作中国专家共识(2021版) [J/OL]. 中国实用外科杂志, 2021, 41(7): 747-753. https://doi.org/10.19538/j.cjps.issn1005-2208.2021.07.04 |
| [16] | 李健文, 王文瑞. 腹腔镜腹股沟疝修补术(Tapp) [J]. 中华普外科手术学杂志(电子版), 2014, 8(3): 272. |
| [17] | Leblanc, K.A. and Booth, W.V. (1993) Laparoscopic Re-pair of Incisional Abdominal Hernias Using Expanded Polytetrafluoroethylene: Preliminary Findings. Surgical Lapa-roscopy & Endoscopy, 3, 39-41. |
| [18] | Kingsorth, A., Sanders, D.L. (2018) General Introduction and History of Hernia Surgery. In: LeBlanc, K., Kingsnorth, A. and Sanders, D., Eds., Management of Abdominal Hernias, Springer, Cham, 3-30.
https://doi.org/10.1007/978-3-319-63251-3_1 |
| [19] | 朱红, 何钱章, 康雅琴. 腹腔镜下不同术式与开放手术疝修补术治疗腹股沟疝的疗效[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(1): 43-46. |
| [20] | 范中宝, 沈建芬, 柳青峰, 廉皓. Tep和Tapp在疝修补术中的临床效果比较[J]. 中国现代普通外科进展, 2021, 24(11): 903-904+921. |
| [21] | 张顺, 蒋正, 陈兆丰. 腹腔镜完全腹膜外疝修补术与腹腔镜经腹腹膜前疝修补术在老年腹股沟疝中的应用价值及对呼吸功能的影响[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(3): 281-284. |
| [22] | 肥胖对手术结果的影响(综合报道) [J]. 国外医学？外科学分册, 1998(5): 282-284. |
| [23] | Chatzimavroudis, G., Papaziogas, B., Atmatzidis, S. and Atmatzidis, K. (2014) Obesity as a Lifetime Risk Factor for Mesh Infection after Groin Hernia Repair. Annals of Surgery, 259, e89.
https://doi.org/10.1097/SLA.0000000000000317 |
| [24] | 马锐, 王洋洋, 贾立伟, 张雪峰, 张成. 腹腔镜完全腹膜外腹股沟疝修补术后血清肿危险因素分析[J]. 临床军医杂志, 2021, 49(3): 344-346. |
| [25] | Booth, A., Magnuson, A., Fouts, J. and Foster, M. (2015) Adipose Tissue, Obesity and Adipokines: Role in Cancer Promotion. Hormone Mo-lecular Biology and Clinical Investigation, 21, 57-74.
https://doi.org/10.1515/hmbci-2014-0037 |
| [26] | 高大爽, 项本宏. 腹腔镜经腹腹膜前疝修补术治疗成人腹股沟疝的临床疗效及术后并发症的危险因素分析[J]. 腹腔镜外科杂志, 2020, 25(7): 492-496+500. |
