基于多中心的恶性肿瘤稳定期行腹股沟疝修补术的可行性探讨:围手术期结果研究  

Feasibility of inguinal hernia repair in patients at stable stage of malignant tumor:Perioperative results of a multi-center study

作　　者：许乾 张光永[1] 王明刚[3] 闫治波[2] 刘雨辰[3] 杨硕[3] Xu Qian;Zhang Guangyong;Wang Minggang;Yan Zhibo;Liu Yuchen;Yang Shuo(Center of General Surgery,Shandong Provincial Qianfoshan Hospital,Shandong University,Shandong,Jinan 250014,China;Department of General Surgery,Qilu Hospital,Shandong University,Shandong,Jinan 250012,China;Department of Hernia and Abdominal Wall Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China)

机构地区：[1]山东大学附属山东省千佛山医院普外科中心,济南250014 [2]山东大学齐鲁医院普外科,济南250012 [3]首都医科大学附属北京朝阳医院疝和腹壁外科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2020年第2期102-105,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹股沟疝伴恶性肿瘤患者在恶性肿瘤稳定期行腹股沟疝修补术的可行性。方法选取58家医院2017年1月1日至12月31日收治的10964例腹股沟疝住院患者,根据腹股沟疝是否伴有恶性肿瘤以及手术方式分为腹股沟疝伴恶性肿瘤行腹腔镜疝修补术(恶性肿瘤+腔镜组)、腹股沟疝伴恶性肿瘤行开放式疝修补术(恶性肿瘤+开放组)、腹股沟疝不伴恶性肿瘤行腹腔镜疝修补术(非恶性肿瘤+腔镜组)、腹股沟疝不伴恶性肿瘤行开放式疝修补术(非恶性肿瘤+开放组),比较各项围手术期指标。结果恶性肿瘤+腔镜组手术时间、术中出血量、围手术期不良事件(出血、血清肿、静脉血栓栓塞症)发生率分别为(71.05±33.64)min、(7.82±5.46)ml、3.62%、3.62%、0,与非恶性肿瘤+腔镜组(77.04±35.68)min、(8.06±7.36)ml、2.67%、2.37%、0.25%相比较,差异无统计学意义(P>0.05);恶性肿瘤+开放组手术时间、术中出血量、围手术期不良事件(出血、血清肿、静脉血栓栓塞症)发生率分别为(76.00±34.69)min、(7.56±6.41)ml、0.70%、2.44%、0,与非恶性肿瘤+开放组(79.65±42.07)min、(8.33±7.96)ml、2.19%、2.19%、0.02%相比较,差异无统计学意义(P>0.05)。结论从围手术期表现来看,腹股沟疝伴恶性肿瘤患者在恶性肿瘤稳定期行腹股沟疝修补术是安全可行的,本研究可为今后我们在临床上处理此类患者提供科学依据和理论指导。Objective To investigate the feasibility of inguinal hernia repair in patients at stable stage of malignant tumors.Methods A total of 10964 hospitalized patients with inguinal hernia from 58 hospitals during January 1st,2017 to December 31st,2017 were included and divided into 4 groups according to surgical technique and whether the patient had a history of malignant tumor:(1)LM+,laparoscopic hernia repair on patients with malignant tumor;(2)OM+,open hernia repair on patients with malignant tumor;(3)LM-,laparoscopic hernia repair on patients without malignant tumor;(4)OM-,open hernia repair on patients without malignant tumor.The perioperative parameters were retrospectively compared.Results The time of operation,the volume of intraoperative bleeding and the incidence of perioperative adverse events(hemorrhage,seroma and VTE)in LM+group were(71.05±33.64)minutes vs(77.04±35.68)minutes,(7.82±5.46)ml vs(8.06±7.36)ml,(3.62%vs 2.67%),(3.62%vs 2.37%),(0 vs 0.25%),respectively,compared with LM-,there were not statistically different(P>0.05);the time of operation,the volume of intraoperative bleeding and the incidence of perioperative adverse events(hemorrhage,seroma and VTE)in OM+group were(76.00±34.69)minutes vs(79.65±42.07)minutes,(7.56±6.41)ml vs(8.33±7.96)ml,(0.70%vs 2.19%),(2.44%vs 2.19%),(0 vs 0.02%),respectively,compared with OM-,there were not statistically different(P>0.05).Conclusion Judging from the perioperative parameters,inguinal hernia repair is safe and feasible to be performed on patients with malignant tumor,and this study can provide some evidences and guidance for clinical management.

关 键 词：疝 腹股沟 恶性肿瘤 疝修补术 围手术期 

分 类 号：R656.21[医药卫生—外科学] R730.5[医药卫生—临床医学]