| 摘要: |
| 目的 探讨单孔腹腔镜对比常规三孔腹腔镜手术治疗单侧腹股沟疝的疗效与美学优势。 方法 回顾性收集2024年1月至2025年1月于我院进行治疗的单侧腹股沟疝患者共121例，其中行单孔腹腔镜手术（SILS-TAPP）的患者61例，行常规三孔腹腔镜手术(MP-TAPP)的患者60例。比较两组患者的基线资料及围手术期指标。 结果 两组患者在年龄、性别、身高体重指数、疝侧别、术前炎症因子水平等基线资料及术中出血量、术后并发症发生率上，差异无统计学意义（P<0.05）；单孔组手术时间较常规三孔组略长,差异有统计学意义（P<0.05）；但单孔组术后首次下床活动时间更短，术后止痛药使用次数更少，术后48h炎症水平更低，住院时间更短、术后美容满意度评分更高，以上差异均有统计学意义（P<0.05）。 结论 单孔腹腔镜治疗单侧腹股沟疝在保证手术安全性的同时，显著加速术后康复并提升美观效果。 |
| 关键词: 腹股沟疝 单孔腹腔镜手术 美学 |
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| Analysis of the Efficacy and Aesthetic Advantages of single-incision laparoscopic surgery compared with conventional three-incision laparoscopic surgery for unilateral inguinal hernia. |
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shaojianlin1,2,3,2,4
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1.Jilin province people&2.#39;3.&4.s hospital
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| Abstract: |
| Objective To investigate the efficacy and aesthetic advantages of single-port laparoscopic transabdominal preperitoneal hernioplasty（SILS-TAPP） compared with multiple-port laparoscopic transabdominal preperitoneal hernioplasty（MP-TAPP）.
Methods A total of 121 patients with unilateral inguinal hernia who underwent TAPP in the Department of Gastrointestinal Surgery of the Jilin Province People’ Hospital from January 2024 to January 2025 were included in this study. Of these, 61patients underwent SILS-TAPP, while 60 patients underwent MP-TAPP. Baseline data and perioperative indicators were compared between the two groups.
Results There were no statistically significant differences (P < 0.05), between the two groups of patients in terms of baseline data such as age, gender, body mass index (BMI), hernia side, and preoperative inflammatory factor levels, as well as intraoperative blood loss and postoperative complication rate. The operation time of the SILS-TAPP group was slightly longer than that of the MP-TAPP group, and the difference was statistically significant (P < 0.05). However, in the SILS-TAPP group, the time to first ambulation after surgery was shorter, the frequency of postoperative analgesic use was lower, the inflammatory level at 48 hours after surgery was lower, the length of hospital stay was shorter, and the score of postoperative cosmetic satisfaction was higher. All the above differences were statistically significant (P < 0.05).
Conclusion Single-port laparoscopy for the treatment of unilateral inguinal hernia not only ensures surgical safety but also significantly accelerates postoperative recovery and improves the cosmetic effect. |
| Key words: Hernia, inguinal Laparoscopy single-incision Aesthetics |
