Comparative study of laparoscopic Keyhole and Sugarbaker technique in the treatment of terminal paracolostomy hernia.
10.3760/cma.j.cn112139-20230130-00042
- VernacularTitle:腹腔镜Keyhole修补术和Sugarbaker修补术治疗末端结肠造口旁疝的比较研究
- Author:
Li Sheng WU
1
;
Chen PAN
1
;
Jian Wei YU
1
;
Yu LI
1
Author Information
1. Department of Hernia and Bariatrci Surgery, the First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China.
- Publication Type:Journal Article
- MeSH:
Male;
Female;
Humans;
Retrospective Studies;
Surgical Mesh/adverse effects*;
Incisional Hernia/etiology*;
Hernia/complications*;
Postoperative Complications/etiology*;
Herniorrhaphy/methods*;
Laparoscopy/methods*;
Hernia, Ventral/surgery*;
Recurrence;
Treatment Outcome
- From:
Chinese Journal of Surgery
2023;61(6):503-506
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare laparoscopic Keyhole repair with Sugarbaker repair in consecutive patients with parastomal hernia. Methods: From January 2015 to December 2021, 117 patients with parastomal hernia were treated with Keyhole or Sugarbaker laparoscopy repairs in the Department of Hernia and Bariatrci Surgery, the First Affiliated Hospital of University of Science and Technology of China, and the clinical data were retrospectively analyzed. There were 45 males and 72 females, aged (68.6±8.6) years (range: 44 to 84 years). Laparoscopic Sugarbaker repair was performed in 89 cases, and Keyhole repair was performed in 28 cases. The t-test, Mann-Whitney U test, χ2 test and Fisher exact test were used to compare the observation indicators between the two groups, such as operation time, incidence of operation-related complications, and postoperative recurrence rate. Results: The follow-up period was (M(IQR)) 33 (36) months (range: 12 to 84 months). Compared to the Sugarbaker group, the hernia ring area of the Keyhole group was bigger (35 (26) cm2 vs. 25 (16) cm2, Z=1.974, P=0.048), length of stay was longer ((22.0±8.0) d vs. (14.1±6.2) d, t=5.485, P<0.01), and the postoperative rate of recurrence was higher (28.6% (8/28) vs. 6.7% (6/89), χ2=7.675, P=0.006). There was no difference in operation time and postoperative complications between the two groups. Conclusions: Laparoscopic Sugarbaker repair is superior to Keyhole repair in the recurrence rate of parastomal hernia treated with compsite mesh (not funnel-shaped mesh). There are no differences in operation time and postoperative complications between the two groups.
