Simultaneous transabdominal preperitoneal hernia repair and laparoscopic cholecystectomy: A report of 17 cases
| Autor: | Yasunobu Shimizu, Shunsuke Hayakawa, Koichi Inukai, Hidehiko Kitagami, Minoru Yamamoto, Moritsugu Tanaka, Hirotaka Miyai, Tetsushi Hayakawa |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Operative Time Hernia Inguinal Gallstones 03 medical and health sciences 0302 clinical medicine Humans Medicine Laparoscopic cholecystectomy Herniorrhaphy Aged business.industry Postoperative complication General Medicine Length of Stay Hernia repair medicine.disease Surgery Inguinal hernia medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Seroma Concomitant Female 030211 gastroenterology & hepatology Cholecystectomy business Inferior epigastric vessels |
| Zdroj: | Asian Journal of Endoscopic Surgery. 12:396-400 |
| ISSN: | 1758-5910 1758-5902 |
| Popis: | Introduction Inguinal hernia repair and cholecystectomy are frequently performed in the field of gastrointestinal surgery. However, reports describing surgical procedures that involve simultaneous transabdominal preperitoneal hernia repair (TAPP) and laparoscopic cholecystectomy (LC), as well as the safety and usefulness of this combination, are limited. Herein, we report a surgical procedure involving simultaneous TAPP and LC (TAPP + LC) and present the outcomes of patients who have undergone this combined surgical procedure, with a particular focus on its safety and usefulness. Methods We simultaneously performed TAPP + LC in 17 patients (mean age, 66.5 ± 8.1 years) with concomitant inguinal hernia and gallbladder stones. We assessed surgical outcomes. Results The mean operative time was 157 ± 39 min, and mean postoperative hospital stay was 3.2 ± 0.6 days. The median cost was $7673 for TAPP + LC. The mean postoperative length of hospital stay was 1.1 ± 0.6 day for TAPP alone and 3.4 ± 1.4 days for LC alone. The median costs of TAPP alone and LC alone were $4932 and $5453, respectively. Regarding intraoperative complications, the inferior epigastric vessels were damaged in two patients, and seroma was detected as a postoperative complication in one; these complications were spontaneously resolved. No mesh- or infection-related complications were noted. Conclusion Simultaneous TAPP + LC is safe and can be regarded as a standard surgical procedure for patients with concomitant inguinal hernia and gallbladder stones. The TAPP + LC combination appears to help prevent the need for two hospitalizations and, thereby, reduces hospital stay and economic burden. |
| Databáze: | OpenAIRE |
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