評估同時進行腹腔鏡全腹腔外腹股溝疝氣修補術和經尿道前列腺切除手術的結果回顧性分析

王煥凱、曾文歆、劉建良、蘇家震、李高漢、謝昆霖、林才揚、謝育哲、黃冠華

奇美醫學中心外科部泌尿科

Evaluation of Outcomes in Simultaneous Laparoscopic Total Extraperitoneal Inguinal Hernia Repair and Transurethral Prostatectomy: A Retrospective Analysis

Huan-Kai Wang, Wen-Hsin Tseng, Chien-Liang Liu, Chia-Cheng Su, Kau-Han Lee, Kun-Lin Hsieh, Chye-Yang Lim, Yu-Che Hsieh, Steven K. Huang

Divisions of Urology, Department of Surgery, Chi-Mei Medical Center, Tainan, Taiwan

Purpose:

This study aims to evaluate the outcomes of simultaneous laparoscopic totally extraperitoneal inguinal hernia repair (TEP) and transurethral resection of the prostate (TURP).

Materials and Methods:

This retrospective study was conducted at our hospital from June 2011 to June 2020. Over past 9 years, we performed the surgery on 17 patients with concurrent unilateral or bilateral inguinal hernias (primary/recurrent) and significant benign prostatic hyperplasia during the same surgical procedure. The following outcomes were compared: operation time, conversion to open rate in inguinal hernia repair, intraoperative and postoperative complications, length of hospital stay, recurrence rate, time required to return to normal activities, and treatment costs.

Results:

This study included 17 patients with a mean age of 65 years. The average operation time was 115 minutes. There was no inguinal hernia repair surgery conversion to open. The mean length of hospital stay was 3.7 days. No significant bleeding occurred intra-operatively or post-operatively. There were no superficial or deep incision wound infections, including mesh infections. There were no inguinal hernia recurrences. Two patients (11.7%) developed urethral strictures within 3 months and 2.5 months after the initial surgery, respectively, and underwent cystoscopic urethral stricture dilatation. The time required to return to normal activities was 7 (±1) days. Hospital costs reduced by 25% when compared to performing the two procedures separately.

Conclusions:

Simultaneously performing TEP inguinal hernia repair and TURP does not increase the postoperative complication rate, and it does not prolong the patient's recovery time. This approach is safe and cost-effective.