CAJ | 학술논문

目的：总结个人连续1221例腹股沟疝无张力修补日间手术的经验。方法回顾性分析2006年5月至2013年4月在本院接受腹股沟疝无张力修补日间手术患者的临床资料,并依据患者接受手术时间将患者分为早期手术组及近期手术组,分析术者经验对并发症的影响。结果共有1221例患者进入研究,总体并发症发生率5.1%(62/1221),术后复发率0.5%(6/1221)。早期手术组患者术后并发症率显著高于近期手术组(6.6% vs 4.0%,P=0.044),但术后疝复发率(0.6% vs 0.4%,P =0.694)无显著差异。结论腹股沟疝无张力修补日间手术是安全、可行的,术者经验与术后并发症的发生有关,但并不影响术后复发。
목적：총결개인련속1221례복고구산무장력수보일간수술적경험。방법회고성분석2006년5월지2013년4월재본원접수복고구산무장력수보일간수술환자적림상자료,병의거환자접수수술시간장환자분위조기수술조급근기수술조,분석술자경험대병발증적영향。결과공유1221례환자진입연구,총체병발증발생솔5.1%(62/1221),술후복발솔0.5%(6/1221)。조기수술조환자술후병발증솔현저고우근기수술조(6.6% vs 4.0%,P=0.044),단술후산복발솔(0.6% vs 0.4%,P =0.694)무현저차이。결론복고구산무장력수보일간수술시안전、가행적,술자경험여술후병발증적발생유관,단병불영향술후복발。
Objective Aim to summarize the personal experience of day case tension-free inguinal hernia repair fromcfroeneserecpuatiivreo1f 2in2g1upinaatilehnetsr.nMethod Retrospective analyses the medical record of patients receiving day case tension-ia who admitted to our department between May 2006 and April 2013. The occurrence of mgiacjaolrgcroomupp)liciantioorndserwatos arencaolyrdseesd.thTehienfpluaetinecnetsowf esruergseuobnd’ivsidexepdeirnietonctwe oongrcooumpsp(liecaartliioenr rsautreg.ical group and later sur-Result A total of 1221 4p(a6ti/e1n2t2s1w)e.rTehienccloumdepdliciantioonurrastteudoyf.eaOrvlieerralslurcgoimcaplligcraotuiopnwraastesiwgansifi5c.an1t%hi(g6h2er/1th2a2n1)latwerithsurregcicuarlregnrcoeupr(at6e. 60%. 5%vsC. 0%,P=0. 044). However, the recurrence rate was similar in both groups(0. 6% vs 0. 4%,P=0. 694).onclusion Day case tension-free repair is safe and effective in treatment of inguinal hernia. Postoperative compli-cation but not recurrence is significantly affected by surgeon’s experience.