腹腔镜完全腹膜外疝修补术在老年患者中应用的安全性和有效性

Efficacy and safety of TEP repair in elderly patients

目的探讨腹腔镜完全腹膜外疝修补术(TEP)在老年腹股沟疝患者中应用的安全性和有效性。方法选取2019年1月至2020年12月,北京清华长庚医院收治的高龄(年龄≥70岁)腹股沟疝行TEP修补手术患者50例作为研究组,选取同期年龄60~69岁腹股沟疝行TEP修补患者50例作为对照组。术后随访1~92周,比较2组手术时间、术后数字疼痛评分(NRS)、平均住院时间、术中损伤、抗生素使用及术后并发症发生率。结果研究组和对照组住院时间比较,差异有统计学意义[(5.2±1.7)d比(4.3±1.4)d,P=0.004];2组手术时间,术后12、24 h NRS,术中损伤,抗生素使用及术后并发症发生率比较,差异均无统计学意义(均P>0.05)。结论TEP手术在老年患者甚至部分超高龄患者中应用是安全可靠的。

Objective The purpose of this study is to study the safety and efficacy of TEP repair in elderly patients.Methods The data of elderly patients who received TEP repair in Beijing Tsinghua Changgung Hospital from January 2019 to December 2020 were retrospectively analyzed.Patients were divided into 2 groups,group 1(n=50 cases,70 years or older)and group 2(n=50 cases,60 to 69 years old).Follow up duration was 1-92 weeks.Patient demographics,operation time,postoperative pain-NRS,length of hospital stay(LOS),intraoperative injury,antibiotic prophylaxis and postoperative complications were compared between the two groups.Results Only LOS was significantly decreased in group 2[(5.2±1.7)days vs(4.3±1.4)days,P=0.004].Operation time,postoperative pain,intraoperative injury,antibiotic prophylaxis and postoperative complications were comparable between groups.Conclusion With thorough assessment,preparing and precise technique,TEP repair in elderly patients is safe and efficacious.