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首页> 外文期刊>BJU international >Laparoscopic inguinal hernia repair during laparoscopic radical prostatectomy.
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Laparoscopic inguinal hernia repair during laparoscopic radical prostatectomy.

机译：腹腔镜根治性前列腺切除术期间腹腔镜腹股沟疝修补术。

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OBJECTIVE: To describe our experience of simultaneous laparoscopic radical prostatectomy (LRP) and inguinal hernia repair (LIHR) with a non-absorbable mesh, as there are few reports of simultaneous herniorrhaphy during LRP. PATIENTS AND METHODS: Forty patients who had simultaneous LIHR and LRP were retrospectively reviewed. All operations were completed via antegrade techniques using a non-absorbable mesh for the LIHR, as the results with absorbable mesh were disappointing. RESULTS: In all, 48 clinically apparent hernias were repaired in 40 patients (mean age 60 years). Of these, 13 were left-sided, 23 right-sided, and six bilateral; 19 were direct, 14 indirect, two pantaloon, three femoral, and in 10 the type was not recorded. The mean operative duration was 172 min and the mean hospital stay was 1.5 days. Two patients had a urine leak after surgery, which resolved with no further intervention, and two developed a pelvic lymphocele, one at 4 months and the other at 2 months after surgery. Two patientsrequired urinary catheter re-insertion for retention after surgical catheter removal at 9 and 10 days after surgery, respectively. One patient developed a deep venous thrombosis 19 days after surgery. Of the 40 patients, 36 (90%) were followed for a mean of 10 months; none had a hernia recurrence on the repaired side, while two developed a new symptomatic contralateral hernia. CONCLUSIONS: LIHR is a successful and reliable way to treat symptomatic patients who are treated surgically for prostate cancer.
机译：目的：描述我们同时进行腹腔镜根治性前列腺切除术（LRP）和腹股沟疝修补术（LIHR）的不可吸收网片的经验，因为很少有关于在LRP期间同时进行疝气修补术的报道。病人和方法：回顾性分析40例同时发生LIHR和LRP的患者。对于LIHR，所有操作均通过不可吸收网通过正向技术完成，因为可吸收网的结果令人失望。结果：总共修复了40例临床平均疝气（40岁）（平均年龄60岁）。其中，左侧13个，右侧23个，双边6个。其中有19例为直接，14例为间接，2例为马裤，3例为股骨，其中10例没有记录。平均手术时间为172分钟，平均住院时间为1.5天。两名患者术后出现尿液渗漏，无需进一步干预即可解决，两名患者出现骨盆淋巴膨出，一个在术后四个月出现，另一个在术后两个月出现。两名患者分别在手术后9天和10天需要拔除导尿管才能保留手术导管。一名患者在手术后19天出现了深静脉血​​栓形成。 40例患者中，有36例（90％）接受了平均10个月的随访。没有人在修复侧发生疝复发，而两个人发展出新的症状性对侧疝。结论：LIHR是治疗通过前列腺癌手术治疗的有症状患者的成功和可靠的方法。

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