目的

分析腹腔镜手术方式在肝移植术后切口疝中的应用效果及可行性。

方法

回顾性分析2020 年1 月至2022 年1 月首都医科大学附属北京朝阳医院行腹腔镜切口疝修补术的30 例肝移植术后切口疝患者的临床资料，对患者一般资料、手术情况、住院时间等进行分析，并随访记录患者术后复发、术后疼痛、肠梗阻、肠瘘、伤口感染、补片感染、血肿及血清肿、术后满意度等情况。

结果

本研究中30 例肝移植术后切口疝患者年龄43～70 岁，住院时间6～10 d，手术方式均采用腹腔镜切口疝修补术，手术时间50～80 min。随访时间为术后3 d、7 d、1 个月、3 个月、6 个月、1 年、2 年，随访期内无失访病例。随访期内均未见切口疝复发、慢性疼痛、肠梗阻、肠瘘、伤口感染、补片感染、血肿及血清肿出现。术后满意度达100%。

结论

腹腔镜手术方式在肝移植术后切口疝修补中效果可靠，具有一定可行性，可进一步临床推广。

Objective

To evaluate the efficacy and feasibility of laparoscopic surgery for the repair of incisional hernias following liver transplantation.

Methods

The clinical data of 30 patients with incisional hernia following liver transplantation who underwent laparoscopic incisional hernia repair in Beijing Chaoyang Hospital, Capital Medical University from January 2020 to January 2022 were retrospectively analyzed.The general condition, operation condition and hospitalization time of the patients were analyzed, and the postoperative recurrence, postoperative pain, intestinal obstruction, intestinal fistula, wound infection, mesh infection, hematoma and seroma, postoperative satisfaction rate were followed up and recorded.

Results

The 30 patients, aged between 43 and 70 years, had a hospital stay ranging from 6 to 10 days.All surgeries were performed using laparoscopic techniques, with operation times between 50 and 80 minutes.Follow-up was conducted at 3 days, 7 days, 1 month, 3 months, 6 months, 1 year, and 2 years, with no cases lost to follow-up.During the follow-up period, there were no incidences of hernia recurrence, chronic pain, bowel obstruction, intestinal fistula, wound infection, mesh infection, hematoma, or seroma.The postoperative satisfaction rate was 100%.

Conclusion

Laparoscopic surgery is a reliable and feasible approach for the repair of incisional hernias following liver transplantation,with promising results that support its further clinical application.