• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Incidence of incisional hernia after laparoscopic liver resection
【24h】

Incidence of incisional hernia after laparoscopic liver resection

机译：腹腔镜肝切除后切口疝的发病率

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Minimally invasive techniques have been broadly introduced to liver surgery during the last couple of years. In this study, we aimed to report the incidence and potential risk factors for incisional hernia (IH) as well as health-related quality of life (HRQoL) after laparoscopic liver resections (LLR). Methods All patients undergoing LLR between January 2014 and June 2017 were contacted for an outpatient hernia examination. In all eligible patients, photo documentation of the scar was performed and IH was evaluated by clinical examination and by ultrasound. Patients also completed a questionnaire to evaluate IH-specific symptoms and HRQoL. Obtained results were retrospectively analyzed with regard to patients' characteristics, perioperative outcomes and applied minimally invasive techniques, such as multi-incision laparoscopic liver surgery or hand-assisted/single-incision laparoscopic surgery (HALS/SILS). Results Of 184 patients undergoing surgery, 161 (87.5%) met the inclusion criteria and 49 patients (26.6%) participated in this study. After a median time of 26 months (range 19-50 months) after surgery, we observed an overall incidence of IH of 12%. Five of 6 patients were overweight or obese (BMI >= 25) and 5 of 6 hernias were located at the umbilical site. Univariate analysis suggested the performance status at time of operation (ASA score >= 3; HR 5.616, 95% CI 1.012-31.157, p = 0.048) and the approach (HALS/SILS, HR 6.571, 95% CI 1.097-39.379, p = 0.039) as potential risk factors for IH. A higher frequency of hernia-related physical restrictions (HRR; p = 0.058) and a decreased physical functioning (p = 0.17) were noted in patients with IH; however, both being short of statistical significance. Conclusion Advantages of laparoscopic surgery with regard to low rates of IH can be translated to minimally invasive liver surgery. Even though there are low rates of IH, patients with poor performance status at the time of operation should be monitored closely. While patients' characteristics are hard to influence, it might be worth focusing on surgical factors such as the approach and the closure of the umbilical site to further minimize the rate of IH.
机译：背景在过去的几年里，微创技术被广泛地引入肝脏手术。在本研究中，我们旨在报告腹腔镜肝切除术（LLR）后切口疝（IH）的发生率和潜在风险因素，以及与健康相关的生活质量（HRQoL）。方法联系2014年1月至2017年6月期间接受LLR的所有患者进行门诊疝气检查。在所有符合条件的患者中，对疤痕进行了照片记录，并通过临床检查和超声波对IH进行了评估。患者还完成了一份问卷，以评估IH的特定症状和HRQoL。对获得的结果进行回顾性分析，包括患者特征、围手术期结果和应用的微创技术，如多切口腹腔镜肝脏手术或手助/单切口腹腔镜手术（HALS/SILS）。结果184例手术患者中，161例（87.5%）符合纳入标准，49例（26.6%）参与本研究。术后中位时间为26个月（范围19-50个月），我们观察到IH的总发病率为12%。6例患者中有5例超重或肥胖（BMI>=25），6例疝气中有5例位于脐部。单变量分析表明，手术时的表现状态（ASA评分>=3；HR 5.616，95%CI 1.012-31.157，p=0.048）和方法（HALS/SILS，HR 6.571，95%CI 1.097-39.379，p=0.039）是IH的潜在风险因素。在IH患者中，与疝气相关的身体限制（HRR；p=0.058）和身体功能下降（p=0.17）的发生率较高；然而，两者都缺乏统计学意义。结论腹腔镜手术在低IH发生率方面的优势可以转化为微创肝脏手术。尽管IH的发病率很低，但手术时表现不佳的患者仍应受到密切监控。虽然患者的特征很难受到影响，但值得关注的是手术因素，如手术入路和脐带部位的闭合，以进一步降低IH的发生率。

著录项

  • 来源
    《Surgical Endoscopy》 |2021年第3期|共8页
  • 作者

    Wabitsch S.; Schulz P.; Froeschle F.; Kaestner A.; Fehrenbach U.; Benzing C.; Haber P. K.; Denecke T.; Pratschke J.; Fikatas P.; Schmelzle M.;

  • 作者单位

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Berlin Inst Hlth Campus Charite Mitte Campus Virchow Klinikum D-13353 Berlin Germany;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Berlin Inst Hlth Campus Charite Mitte Campus Virchow Klinikum D-13353 Berlin Germany;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

    Humboldt Univ Dept Surg Charite Univ Med Berlin Freie Univ Berlin Campus Charite Mitte Campus;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Liver resection; Laparoscopic liver resection; Incisional hernia;

    机译：肝切除;腹腔镜肝切除术;切口疝;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号