前列腺癌根治术后并发腹股沟疝的研究进展

Research progress of inguinal hernia after radical prostatectomy

腹股沟疝是前列腺癌术后常见的远期并发症,其发生可能与体重指数偏低、鞘状突未闭、手术方式等因素相关。术后腹股沟疝显著影响前列腺癌手术病人的远期生活质量,严重者需再次手术治疗。部分医生对具有多项危险因素或(和)合并腹股沟疝的病人在前列腺手术中使用如无张力修补、分离精索等预防性措施,以期待降低术后腹股沟疝的发生率。对于术后腹股沟疝病人,可采用Lichtenstein修补术、腹腔镜腹膜前疝修补术等进行治疗。

Inguinal hernia is a common long-term complication after prostatectomy,which may be related to low BMI,patent sheath process,different surgical methods and other factors.Postoperative inguinal hernia significantly affects the long-term quality of life of patients undergoing prostate cancer surgery,and patients with severe inguinal hernia need reoperation.Some doctors use preventive measures such as tension-free repair and spermatic cord separation in prostate surgery for patients with multiple risk factors or(and)complicated with inguinal hernia,in order to reduce the incidence of postoperative inguinal hernia.Lichtenstein repair and TAPP can be used for patients with postoperative inguinal hernia.