Laparoscopic extraperitoneal technique versus open inguinal herniotomy in children: historical controlled intervention study  

作　　者：Arada Suttiwongsing Jiraporn Khorana Patchara Ruangwongroj Korakot Niruttiwat 

机构地区：[1]Division of Pediatric Surgery,Department of Surgery,Chiangrai Prachanukroh Hospital,Chiang Rai,Thailand [2]Division of Pediatric Surgery,Department of Surgery,Faculty of Medicine,Chiang Mai University,Chiang Mai,Thailand [3]Center of Clinical Epidemiology and Clinical Statistic,Faculty of Medicine,Chiang Mai University,Chiang Mai,Thailand [4]Clinical Research Center,Chiangrai Prachanukroh Hospital,Chiang Rai,Thailand [5]Department of Rehabilitation Medicine,Chiangrai Prachanukroh Hospital,Chiang Rai,Thailand

出　　处：《World Journal of Pediatric Surgery》2022年第4期229-234,共6页世界小儿外科杂志（英文）

基　　金：The Clinical Research Center,Chiangrai Prachanukroh Hospital,Thailand,supported the research conduction and funding(grant number of CR.0032.102/Research/008).

摘　　要：Objective To compare surgical outcomes of percutaneous extraperitoneal simple purse string method of laparoscopic hernia(LH)repair with a traditional open inguinal hernia(OH)repair in children with indirect inguinal hernia in a single center.Methods This study is a historical-controlled intervention study of two groups of patients:patients in the controlled group had OH repair performed from January 2016 to December 2017,and patients in the study group had LH repair from January 2018 to December 2019 at a single institution.Outcomes of the OH and LH groups,in terms of operative time,recurrence,complications,incidence of metachronous contralateral inguinal hernia(MCIH)and contralateral patent processus vaginalis(CPPV)were analyzed.Results Three hundred and five patients were enrolled in the study.Among them,95 cases underwent laparoscopic percutaneous extraperitoneal closure herniotomy(LH group),and 210 cases underwent conventional open herniotomy(OH group).In terms of operative time,only unilateral herniotomy in females of the OH group was significantly less than that of the LH group(15.7±7.1 vs 20.5±7.4 min,p=0.004).No significant difference in overall complication was observed between the two groups of patients.The incidence of CPPV in the LH group was 15.7%(15/95),and MCIH in OH group was 10.9%(23/210).Conclusions Laparoscopic herniotomy may prevent the need for a second operation of metachronous contralateral hernia.Both open and laparoscopic techniques are equivalent in pro and cons.

关 键 词：PERITONEAL LAPAROSCOPIC STRING 

分 类 号：R726.5[医药卫生—儿科]