腹外疝合并肝硬化患者外科治疗的进展
Advances in the Surgical Treatment of Patients with Hernia and Liver Cirrhosis
DOI: 10.12677/ACM.2022.1291185, PDF,   
作者: 王嘉晖*, 朱倍霆, 车东霞：青海大学，青海 西宁；杨生虎#：青海大学附属医院，青海 西宁
关键词: 疝；肝硬化；疝修补术；Hernia； Cirrhosis； Hernia Repair
摘要: 腹外疝作为临床常见外科疾病之一，关于各种腹外疝疾病的发生发展、诊断治疗一直倍受疝外科医生关注。肝硬化由各种慢性肝病发展而来，当肝硬化患者同时合并腹外疝时，肝硬化相关的病理生理变化增加了腹外疝外科治疗的难度和风险。外科医生在面对此类患者手术治疗的同时不得不面临巨大的风险与挑战，本文将就肝硬化对腹外疝发生发展的影响及腹外疝合并肝硬化患者外科治疗做一综述，为肝硬化合并腹外疝患者临床治疗及研究提供参考。
Abstract: As one of the common surgical diseases, the development, diagnosis and treatment of various ab-dominal hernia diseases have been of great concern to surgeons. Cirrhosis develops from various chronic liver diseases. When cirrhosis develops from various chronic liver diseases, the pathophysi-ological changes associated with cirrhosis increase the difficulty and risk of surgical treatment of abdominal hernia when patients with cirrhosis are combined with abdominal hernia. In this article, we will review the impact of cirrhosis on the development of abdominal hernia and the surgical treatment of patients with cirrhosis combined with hernia to provide a reference for the clinical treatment and research of patients with cirrhosis combined with hernia.
文章引用：王嘉晖, 杨生虎, 朱倍霆, 车东霞. 腹外疝合并肝硬化患者外科治疗的进展[J]. 临床医学进展, 2022, 12(9): 8224-8229. https://doi.org/10.12677/ACM.2022.1291185

参考文献

[1] Bhangui, P., Laurent, A., Amathieu, R., et al. (2012) Assessment of Risk for Non-Hepatic Surgery in Cirrhotic Patients. Journal of Hepatology, 57, 874-884. [Google Scholar] [CrossRef] [PubMed]
[2] 孙惠军. 肝硬化腹水与腹股沟疝手术[J]. 中华普外科手术学杂志(电子版), 2007(2): 77-78.
[3] Zielsdorf, S.M., Kubasiak, J.C., Janssen, I., et al. (2015) A NSQIP Analysis of MELD and Perioperative Outcomes in General Surgery. American Surgeon, 81, 755-759. [Google Scholar] [CrossRef] 
[4] Eker, H.H., Ramshorst, G.H.V., Goede, B.D., et al. (2011) A Prospective Study on Elective Umbilical Hernia Repair in Patients with Liver Cirrhosis and Ascites. Surgery, 150, 542-546. [Google Scholar] [CrossRef] [PubMed]
[5] Belghiti, J. and Durand, F. (1997) Abdominal Wall Her-nias in the Setting of Cirrhosis. Seminars in Liver Disease, 17, 219-226. [Google Scholar] [CrossRef] [PubMed]
[6] Marsman, H.A., Heisterkamp, J., Halm, J.A., et al. (2007) Manage-ment in Patients with Liver Cirrhosis and an Umbilical Hernia. Surgery, 142, 372-375. [Google Scholar] [CrossRef] [PubMed]
[7] Juo, Y.Y., Skancke, M., Holzmacher, J., et al. (2016) Laparoscopic versus Open Ventral Hernia Repair in Patients with Chronic Liver Disease. Surgical Endoscopy, 31, 769-777. [Google Scholar] [CrossRef] [PubMed]
[8] Mckay, A., Dixon, E., Bathe, O., et al. (2009) Umbilical Hernia Repair in the Presence of Cirrhosis and Ascites: Results of a Survey and Review of the Literature. Hernia, 13, 461-468. [Google Scholar] [CrossRef] [PubMed]
[9] Nguyen-Khac, E., Sarba, R., Spahr, L., et al. (2021) Combined Treatment of Refractory Ascites with an Alfapump plus Hernia Repair in the Same Surgical Session: A Retrospective, Multicentre, European Pilot Study in Cirrhotic Patients. Journal of Visceral Surgery, 158, 27-37. [Google Scholar] [CrossRef] [PubMed]
[10] 张健, 王兆荃. 内科保守治疗肝硬化腹水伴脐疝嵌顿1例[J]. 临床肝胆病杂志, 2011, 27(3): 314-315.
[11] Hew, S., Yu, W., Robson, S., et al. (2018) Safety and Effectiveness of Umbilical Hernia Repair in Patients with Cirrhosis. Hernia, 22, 759-765. [Google Scholar] [CrossRef] [PubMed]
[12] Saleh, F., Okrainec, A., Cleary, S.P., et al. (2015) Management of Umbilical Hernias in Patients with Ascites: Development of a Nomogram to Predict Mortality. American Journal of Sur-gery, 209, 302-307. [Google Scholar] [CrossRef] [PubMed]
[13] Bajaj, J.S. and Varma, R.R. (2004) TIPSS as Therapeutic Mo-dality for Umbilical Hernia in Patients with Advanced Liver Disease. Liver Transplantation, 10, 159-160. [Google Scholar] [CrossRef] [PubMed]
[14] Hur, Y.H., Kim, J.C., Kim, D.Y., et al. (2011) Inguinal Hernia Repair in Pa-tients with Liver Cirrhosis Accompanied by Ascites. Journal of the Korean Surgical Society, 80, 420-425. [Google Scholar] [CrossRef] [PubMed]
[15] Li, J., Qin, C., Lai, D., et al. (2020) Safety and Effectiveness of Inguinal Hernia Repair in Patients with Liver Cirrhosis: A Retrospective Study and Literature Review. Hernia, 24, 489-494. [Google Scholar] [CrossRef] [PubMed]
[16] Patti, R., Almasio, P.L., Buscemi, S., et al. (2008) In-guinal Hernioplasty Improves the Quality of Life in Patients with Cirrhosis. American Journal of Surgery, 196, 373-378. [Google Scholar] [CrossRef] [PubMed]
[17] Oh, H.K., Kim, H., Ryoo, S., et al. (2011) Inguinal Hernia Re-pair in Patients with Cirrhosis Is Not Associated with Increased Risk of Complications and Recurrence. World Journal of Surgery, 35, 1229-1233. [Google Scholar] [CrossRef] [PubMed]
[18] Park, J.K., Sang, H.L., Yoon, W.J., et al. (2007) Evaluation of Hernia Repair Operation in Child-Turcotte-Pugh Class C Cirrhosis and Refractory Ascites. Journal of Gastroenterology and Hepatology, 22, 377-382. [Google Scholar] [CrossRef] [PubMed]
[19] Andraus, W., Pinheiro, R.S., Lai, Q., et al. (2015) Ab-dominal Wall Hernia in Cirrhotic Patients: Emergency Surgery Results in Higher Morbidity and Mortality. BMC Surgery, 15, Article No. 65. [Google Scholar] [CrossRef] [PubMed]
[20] 罗文, 王勇, 段鑫, 柯文杰. 肝硬化顽固性腹水合并腹股沟疝的临床治疗分析[J]. 中华疝和腹壁外科杂志(电子版), 2015, 9(2): 26-28.
[21] 袁昕, 申英末. 肝硬化合并腹股沟疝外科治疗的效果[J]. 中华疝和腹壁外科杂志: 电子版, 2020, 14(6): 673-677.
[22] 孙力波, 张海涛, 赵晓飞, 刘源, 金伯旬. 脐疝合并肝硬化腹水患者修补术治疗体会[J]. 中华疝和腹壁外科杂志(电子版), 2017, 11(4): 244-246.
[23] Kayashima, H., Maeda, T., Harada, N., et al. (2015) Risk Factors for Incisional Hernia after Hepatic Re-section for Hepatocellular Carcinoma in Patients with Liver Cirrhosis. Surgery, 158, 1669-1675. [Google Scholar] [CrossRef] [PubMed]
[24] Elcheroth, F., Vons, C. and Franco, D. (1994) Role of Surgical Therapy in Management of Intractable Ascites. World Journal of Surgery, 18, 240-245. [Google Scholar] [CrossRef] 
[25] Mansour, A., Watson, W., Shayani, V., et al. (1997) Abdominal Opera-tions in Patients with Cirrhosis: Still a Major Surgical Challenge. Surgery, 122, 730-735. [Google Scholar] [CrossRef] 
[26] Smith, M.T., Rase, B., Woods, A., et al. (2014) Risk of Her-nia Incarceration following Transjugular Intrahepatic Portosystemic Shunt Placement. Journal of Vascular & Interven-tional Radiology, 25, 58-62. [Google Scholar] [CrossRef] [PubMed]
[27] Zermatten, M.G., Fraga, M., Moradpour, D., et al. (2020) Hemo-static Alterations in Patients with Cirrhosis: From Primary Hemostasis to Fibrinolysis. Hepatology, 71, 2135-2148. [Google Scholar] [CrossRef] [PubMed]
[28] 龚航, 魏尉, 刘先丽, 黄忠. 肝硬化患者凝血状态变化的研究进展[J]. 现代消化及介入诊疗, 2021, 26(10): 1330-1333.
[29] 章由贤, 沈阳, 徐瀚斌. 成人腹股沟疝术后血清肿形成原因分析及处理[J]. 腹部外科, 2019, 32(2):132-135.
[30] Sepanlou, S., Safiri, S., Bisignano, C., et al. (2020) The Global, Regional, and National Burden of Cirrhosis by Cause in 195 Countries and Territories, 1990-2017: A Systematic Analy-sis for the Global Burden of Disease Study 2017. The Lancet Gastroenterology & Hepatology, 5, 245-266. [Google Scholar] [CrossRef] 
[31] Asrani, S.K., Devarbhavi, H., Eaton, J., et al. (2019) Burden of Liver Diseases in the World. Journal of Hepatology, 70, 151-171. [Google Scholar] [CrossRef] [PubMed]
[32] Wang, F., Fan, J., Zhang, Z., et al. (2015) The Global Burden of Liver Disease: The Major Impact of China. Hepatology, 60, 2099-2108. [Google Scholar] [CrossRef] [PubMed]
[33] 皮明润, 姚江波, 孙丕绛, 李传宝, 牛家增. 腹腔镜在腹股沟疝合并肝硬化患者中的应用进展[J]. 国际医药卫生导报, 2021, 27(3): 365-367.
[34] Kim, S.W., Kim, M.A., Chang, Y., et al. (2020) Prognosis of Surgical Hernia Repair in Cirrhotic Patients with Refractory Ascites. Hernia, 24, 481-488. [Google Scholar] [CrossRef] [PubMed]

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