对比观察腹腔镜腹壁切口疝修补术与开放式切口疝修补术的疗效,以供临床参考。

总结2011年8月至2014年1月本院外科收治的52例腹壁切口疝患者临床资料,其中腹腔镜手术组28例,开放手术组24例。观察两组患者手术时间、住院时间、术中出血量、术区感染、术后疼痛的差异。

两组患者均顺利完成手术,与腹腔镜手术组对比,开放手术组在手术时间[(56.43±21.23) min vs (78.12±18.15) min, t=3.924, P<0.01]、住院时间[(5.12±1.18) d vs (7.25±2.45) d, t=4.085, P<0.01]、术中出血[(12.67±8.87) ml vs (135.18±56.78) ml, t=-6.927, P<0.01]、术后感染及疼痛等方面差异有统计学意义。

腹腔镜及开放式两种手术方式同样安全有效,腹腔镜手术在缩短住院时间,减少术中出血、术后疼痛方面占有明显优势。

To contrast the effect between laparoscopic repair and open surgery repair for curing ventral incisional hernia (VIH).

From August 2011 to January 2014, fifty-two patients with VIH undergoing surgical treatment were absorbed as the research object, including 28 cases of laparoscopic group and 24 cases of open surgery group. Operation time, intra-operative blood loss, hospital stay, the site of infection and postoperative pain in the two groups were observed.

Operations of both groups were successful. Compared with laparoscopic group, open surgery group showed significant differences in operation time [(56.43±21.23) min vs (78.12±18.15) min, t=3.924, P<0.01], the length of hospital stay [(5.12±1.18) d vs (7.25±2.45) d, P<0.05], intra-operative bleeding [(12.67±8.87) ml vs (135.18±56.78) ml, P<0.05], and postoperative infection and pain.

Both operations are equally safe, while laparoscopic surgery has obvious advantages in shorter hospital stay, less intra-operative bleeding and lighter postoperative pain.