Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?
Autor: | Tomáš Jonszta, Pavel Koscielnik, Lubomír Tulinský, Lucia Ihnát Rudinská, Peter Ihnát, Igor Penka |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty animal structures Incisional hernia medicine.medical_treatment Physical examination 030230 surgery Cohort Studies 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Incisional Hernia Laparoscopy Aged Czech Republic Retrospective Studies Proctectomy medicine.diagnostic_test Rectal Neoplasms Abdominoperineal resection business.industry Incidence Incidence (epidemiology) Colostomy Retrospective cohort study Middle Aged medicine.disease Surgery Female 030211 gastroenterology & hepatology business Abdominal surgery |
Zdroj: | Surgical Endoscopy. 33:1789-1794 |
ISSN: | 1432-2218 0930-2794 |
DOI: | 10.1007/s00464-018-6453-0 |
Popis: | The aim of the present study was to explore incidence and severity of parastomal hernia (PSH) formation during the first 2 years after open/laparoscopic abdominoperineal resection (APR). This was a retrospective cohort study conducted in a single institution. All patients who underwent laparoscopic/open APR for low rectal cancer within a 10-year study period were assessed for study eligibility. In total, 148 patients were included in the study (97 patients after laparoscopic APR; 51 patients after open APR). There were no statistically significant differences between study subgroups regarding demographic and clinical features. The incidence of PSH detected by physical examination was significantly higher in patients after laparoscopic APR 1 year after the surgery (50.5% vs. 19.6%, p |
Databáze: | OpenAIRE |
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