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首页> 外文期刊>Surgical Endoscopy >Laparoscopic ventral hernia repair: a systematic review.
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Laparoscopic ventral hernia repair: a systematic review.

机译：腹腔镜腹疝修补术：系统评价。

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BACKGROUND: Laparoscopic ventral hernia repair may be an alternative to open mesh repair as it avoids a large abdominal incision, and thus potentially reduces pain and hospital stay. This review aimed to assess the safety and efficacy of laparoscopic ventral hernia repair in comparison with open ventral hernia repair. METHOD: A systematic review was conducted, with comprehensive searches identifying six randomised controlled trials (RCTs) and eight nonrandomised comparative studies. RESULTS: The laparoscopic approach may have a lower recurrence rate than the open approach and required a shorter hospital stay. Five RCTs (Barbaros et al., Hernia 11:51-56, 2007; Misra et al., Surg Endosc 20:1839-1845, 2006; Navarra et al., Surg Laparosc Endosc Percutan Tech 17:86-90, 2007; Moreno-Egea et al., Arch Surg 137:266-1268, 2002; Carbajo et al., Surg Endosc 13:250-252, 1999) reported no conversion (0%) to open surgery, and four nonrandomised studies reported conversions to open surgery ranging from 0% to 14%. Open approach complications generally were wound related, whereas the laparoscopic approach reported both wound- and procedure-related complications and these appeared to be less frequently reported. CONCLUSION: Based on current evidence, the relative safety and efficacy of the laparoscopic approach in comparison with the open approach remains uncertain. The laparoscopic approach may be more suitable for straightforward hernias, with open repair reserved for the more complex hernias. Laparoscopic ventral hernia repair appears to be an acceptable alternative that can be offered by surgeons proficient in advanced laparoscopic techniques.
机译：背景：腹腔镜腹疝气修补术可以避免开腹大切口，从而代替开放式网状修补术，从而有可能减轻疼痛并减少住院时间。这篇综述旨在评估腹腔镜腹侧疝修补术与开放性腹侧疝修补术的安全性和有效性。方法：进行了系统的审查，通过全面搜索确定了六项随机对照试验（RCT）和八项非随机对照研究。结果：腹腔镜手术的复发率可能比开放手术低，并且需要更短的住院时间。五个RCT（Barbaros等人，Hernia 11：51-56，2007; Misra等人，Surg Endosc 20：1839-1845，2006; Navarra等人，Surg Laparosc Endosc Percutan Tech 17：86-90，2007; Moreno-Egea et al。，Arch Surg 137：266-1268，2002; Carbajo et al。，Surg Endosc 13：250-252，1999）报告未进行开腹手术转化（0％），四项非随机研究报告转为开放手术开放手术的范围从0％到14％。开放式并发症通常与伤口相关，而腹腔镜方法报告的是与伤口和手术相关的并发症，而这些并发症的报道频率较低。结论：根据目前的证据，腹腔镜手术与开放手术相比的相对安全性和有效性尚不确定。腹腔镜手术可能更适合于单纯性疝气，而开放修补术则适用于更复杂的疝气。精通腹腔镜技术的外科医生似乎可以接受腹腔镜腹疝修补术。

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