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作 者:满艺[1] 李宝山 王荫龙[1] Man Yi;Li Baoshan;Wang Yinlong(Department of Hernia and abdominal wall Surgery,Tianjin Union Medical Center,Tianjin 300121,China)
机构地区:[1]天津市人民医院疝和腹壁外科,天津300121
出 处:《中华腔镜外科杂志(电子版)》2024年第1期62-64,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)
摘 要:腹股沟疝修补术经历了从开放传统疝修补术、无张力疝修补术向腹腔镜、机器人疝修补术的变革。达芬奇机器人手术系统是更高级的腹腔镜系统,机器人腹股沟疝修补解决了腹腔镜腹股沟疝修补术的部分技术难题,为微创治疗腹股沟疝提供了新的选择。本文从机器人腹股沟疝修补术的适应证、禁忌证、手术流程、临床应用和预后等方面进行综述。现有的研究结果表明,机器人腹股沟疝修补术的术后并发症发生率和复发率与腹腔镜腹股沟疝修补术相近,但手术时间更长、住院费用更高。Inguinal hernia repair has undergone a revolution from open traditional hernia repair and tension-free hernia repair to laparoscopic and robotic hernia repair.Da Vinci robotic surgical system is a more advanced laparoscopic system.Robotic inguinal hernia repair(RIHR)solves some technical difficulties of laparoscopic inguinal hernia repair(LIHR),and provides a new option for minimally invasive treatment of inguinal hernia.This article reviews the indications and contraindications,surgical procedures,and clinical outcomes of RIHR.The current research results show that the postoperative complication rate and recurrence rate of RIHR are similar to those of LIHR,but the operation time is longer and the cost is higher.
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