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目的:探讨前列腺癌根治术后病人腹腔镜腹股沟疝修补术临床应用的安全性、可行性及有效性。方法 :收集我院2013年1月至2015年10月经耻骨后前列腺癌根治术后行腹腔镜腹股沟疝修补术20例,分析手术情况及术后恢复情况。结果:20例均顺利完成腹腔镜腹股沟疝修补术,无手术并发症发生及中转。平均手术时间单侧(55±18)min,双侧(82±25)min。术后中位住院天数2(2~5)d。术后有1例出现血清肿,穿刺后消失。术后随访中位时间12(1~21)个月,无复发。结论:腹腔镜腹股沟疝修补术在前列腺癌根治术后病人中应用安全有效。经耻骨后前列腺癌根治术后不是腹腔镜腹股沟疝修补术的禁忌证。
Objective: To investigate the safety, feasibility and effectiveness of laparoscopic inguinal hernia repair in patients with prostate cancer after radical operation. Methods: Twenty patients underwent laparoscopic inguinal hernia repair after radical retropubic prostatectomy from January 2013 to October 2015 in our hospital. The operative conditions and postoperative recovery were analyzed. Results: All the 20 cases were successfully completed laparoscopic inguinal hernia repair without complications and transit. The mean operation time was unilateral (55 ± 18) min and bilateral (82 ± 25) min. The median postoperative hospital stay 2 (2 ~ 5) d. One patient had seroma after operation and disappeared after puncture. Postoperative follow-up median time 12 (1 ~ 21) months, no recurrence. Conclusions: Laparoscopic inguinal hernia repair is safe and effective in patients after radical prostatectomy. After the retropubic prostatectomy is not a contraindication to laparoscopic inguinal hernia repair.