| 摘要: |
| ［摘要］ 目的 比较单孔腹腔镜和常规三孔腹腔镜手术治疗单侧腹股沟疝的疗效及美学效果。方法 回顾性分析2024年1月至2025年1月吉林省人民医院收治的单侧腹股沟疝患者的临床资料，其中接受单孔腹腔镜经腹膜前修补手术（SPLS-TAPP）者61例（SPLS-TAPP组），接受常规三孔腹腔镜经腹膜前修补手术（TPLS-TAPP）者60例（TPLS-TAPP组）。比较两组患者围手术期指标、术后疼痛情况、术后炎症因子水平、术后并发症发生情况以及美学效果。结果 两组均顺利完成手术，均无中转开腹和增加Trocar情况。与TPLS-TAPP组相比，SPLS-TAPP组手术时间更长，术后首次下床活动时间更快，术后住院时间更短，差异有统计学意义（P<0.05）。两组术中出血量比较差异无统计学意义（P>0.05）。SPLS-TAPP组术后24 h、48 h的VAS评分低于TPLS-TAPP组，术后止痛药使用次数少于TPLS-TAPP组，差异有统计学意义（P<0.05）。SPLS-TAPP组术后C-反应蛋白（CRP）、白细胞计数（WBC）和白细胞介素-10（IL-10）水平均显著低于TPLS-TAPP组（P<0.05）。两组术后均未发生补片感染、肠管损伤、大出血等严重并发症，术后并发症总发生率比较差异无统计学意义（P>0.05）。SPLS-TAPP组对切口瘢痕的美学满意度评分显著高于TPLS-TAPP组（P<0.05）。结论 单孔腹腔镜治疗单侧腹股沟疝可在保证手术安全性的同时促进患者快速康复，并提升切口瘢痕的美学效果。 |
| 关键词: 腹股沟疝 单孔腹腔镜手术 美学效果 快速康复外科 |
| DOI：10.3969/j.issn.1674-3806.2026.04.11 |
| 分类号:R 656.2 |
| 基金项目: |
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| Analysis on the efficacy and aesthetic advantages of single-port laparoscopic surgery versus conventional three-port laparoscopic surgery for unilateral inguinal hernia |
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SHAO Jianlin, WANG Bowen
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Department of Gastrointestinal Surgery, Jilin Province People′s Hospital, Changchun 130021, China
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| Abstract: |
| ［Abstract］ Objective To compare the efficacy and aesthetic effect of single-port laparoscopic surgery versus conventional three-port laparoscopic surgery in treatment of unilateral inguinal hernia. Methods A retrospective analysis was performed on the clinical data of patients with unilateral inguinal hernia who were admitted to Jilin Province People′s Hospital from January 2024 to January 2025. Among them, 61 patients underwent single-port laparoscopic transabdominal preperitoneal repair(SPLS-TAPP) and were assigned to the SPLS-TAPP group, while 60 patients underwent conventional three-port laparoscopic transabdominal preperitoneal repair(TPLS-TAPP) and were assigned to the TPLS-TAPP group. Perioperative indicators, postoperative pain conditions, postoperative inflammatory factor levels, postoperative complications, and aesthetic effect were compared between the two groups. Results The operations were successfully completed in both groups, with no conversion to open surgery and no additional Trocar placement in either group. Compared with the TPLS-TAPP group, the SPLS-TAPP group had longer operation time, earlier time to first ambulation after operation, and shorter postoperative hospital stay, with statistically significant differences(P<0.05). There was no statistically significant difference in intraoperative blood loss between the two groups(P>0.05). The Visual Analogue Scale(VAS) scores at 24 and 48 hours after operation in the SPLS-TAPP group were lower than those in the TPLS-TAPP group, and the number of postoperative analgesic uses in the SPLS-TAPP group was less than that in the TPLS-TAPP group, with statistically significant differences(P<0.05). Postoperative levels of C-reactive protein(CRP), white blood cell count(WBC) and interleukin(IL)-10 in the SPLS-TAPP group were significantly lower than those in the TPLS-TAPP group(P<0.05). No severe complications such as mesh infection, intestinal injury and massive hemorrhage occurred postoperatively in either group. There was no statistically significant difference in the total incidence of postoperative complications between the two groups(P>0.05). The patients′ aesthetic satisfaction scores for incision scars in the SPLS-TAPP group were significantly higher than those in the TPLS-TAPP group(P<0.05). Conclusion Single-port laparoscopic surgery can facilitate the quick recovery of the patients while ensuring their surgical safety in the treatment of unilateral inguinal hernia and improve the aesthetic effect of incision scars. |
| Key words: Inguinal hernia Single-port laparoscopic surgery Aesthetic effect Enhanced recovery after surgery |
