关键词: 男性, 老年, 腹股沟疝, 腹腔镜经腹腹膜前疝修补术, 复发, 影响因素

Abstract: Objective  The purpose of this study is to explore the clinical efficacy of laparoscopic transabdominal anterior peritoneal hernia repair(TAPP) in the treatment of inguinal hernia in elderly male patients,and to analyze the factors influencing postoperative recurrence. Methods  A retrospective analysis was conducted on the clinical data of 93 elderly male patients admitted to our hospital for TAPP from January 2020 to June 2023.They were divided into a recurrence group and a non-recurrence group based on postoperative recurrence.Risk factors for postoperative recurrence of TAPP were analyzed through univariate analysis and logistic regression analysis.Results  The proportion of hernia sac diameter≥3cm,lower abdominal surgery history,severe hernia ring adhesion and surgery time≥60min in the recurrent group were significantly higher than those in the non-recurrence group(P<0.05).Multivariate logistic analysis showed that hernia sac diameter≥3cm,history of lower abdominal surgery,and severe hernia ring adhesion were independent risk factors for postoperative recurrence of TAPP(P<0.05).Conclusion  TAPP is a safe and reliable treatment for inguinal hernia in elderly male patients.The diameter of the hernia sac≥3cm,a history of lower abdominal surgery,and severe hernia ring adhesion may increase the risk of postoperative recurrence in elderly male patients with TAPP.

Key words: male, elderly, inguinal hernia, laparoscopic transabdominal anterior peritoneal hernia repair, recurrence, influencing factor