CAJ | 학술논문

目的：探讨肥胖患者巨大切口疝的微创手术治疗效果及并发症。方法回顾性分析2009年7月至2013年12月，兰州军区兰州总医院21例肥胖巨大切口疝患者行腹腔镜切口疝修补术的临床资料。结果本组21例患者，中转开腹1例，顺利完成手术20例。手术时间75～230 min，平均（124±39）min，术后随访4～49个月，复发1例（5％）；腹壁疼痛1例（5％）；血清肿1例（5％）；无手术部位感染、腹腔间室综合征等严重并发症。结论腹腔镜巨大切口疝修补术应用于肥胖患者，具有微创、恢复快、并发症小及复发率低等优势，值得临床推广应用。
목적：탐토비반환자거대절구산적미창수술치료효과급병발증。방법회고성분석2009년7월지2013년12월，란주군구란주총의원21례비반거대절구산환자행복강경절구산수보술적림상자료。결과본조21례환자，중전개복1례，순리완성수술20례。수술시간75～230 min，평균（124±39）min，술후수방4～49개월，복발1례（5％）；복벽동통1례（5％）；혈청종1례（5％）；무수술부위감염、복강간실종합정등엄중병발증。결론복강경거대절구산수보술응용우비반환자，구유미창、회복쾌、병발증소급복발솔저등우세，치득림상추엄응용。
Objective To explore the clinical effect and complications of the minimally invasive surgical therapy for huge incisional hernia in obese patients .Methods A retrospective analysis was conducted on 21 obese patients with giant incisional hernia , who underwent laparoscopic incisional hernia repair ( LIHR) from July 2009 to December 2013 in Lanzhou Army General Hospital .Results Of these patients, one converted to laparotomy , and 20 cases were successfully completed with LIHR .The operative time were 75 to 230 minutes, average of (124 ±39) minutes.All patients were followed up for 4 to 49 months;one recurrence (5%), one abdominal pain (5%) and one seroma (5%) occurred;there were no serious complications ( such as surgical site infections , abdominal compartment syndrome , etc.) . Conclusion LIHR for huge incisional hernia in obese patients has been showed to be minimally invasive , quick recovery , low complications and recurrence rate , and it is worthy of clinical promotion .