前列腺癌根治術(shù)后腹股溝疝的風險因素及預防策略

Risk factors and prevention strategies of inguinal hernia after radical prostatectomy

CHEN Lujie YANG Dongyu MA Chenxu ZHANG Ming QIAO Liang

（1.School of Clinical Medicine，Weifang Medical University，Weifang 261000；2.Department of Urology，Weifang Peoples Hospital，Weifang 261000，China）ABSTRACT：Inguinal hernia （IH） is a common complication in prostate cancer patients undergoing radical prostatectomy （RP），which seriously affects their quality of life.The repair of IH is often challenging due to the adhesion in the inguinal area caused by previous surgery.This article focuses on the risk factors for IH after RP，including surgical approach，postoperative anatomical changes，low body mass index （BMI），muscle loss，advanced age，international prostate symptom score （IPSS），and patent sheath process，and prevention strategies for IH after RP，including robot assisted laparoscopic radical prostatectomy （RARP） with IH repair，preservation of the posterior pubic space in RARP，treatment of the spermatic cord，extraperitoneal RARP，and intraoperative management of the sheath like process，aiming to provide reference for urologists and to improve patients quality of life.

KEY WORDS：prostate cancer；radical prostatectomy；inguinal hernia；herniorrhaphy摘要：腹股溝疝（IH）是前列腺癌患者行前列腺癌根治術(shù)（RP）后常見的并發(fā)癥，嚴重影響患者術(shù)后的生活質(zhì)量，且術(shù)后并發(fā)IH的修補往往因之前手術(shù)導致的腹股溝區(qū)粘連而具有挑戰(zhàn)性。（剩余12220字）