前列腺癌根治术后腹股沟疝的风险因素及预防策略

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：腹股沟疝（IH）是前列腺癌患者行前列腺癌根治术（RP）后常见的并发症，严重影响患者术后的生活质量，且术后并发IH的修补往往因之前手术导致的腹股沟区粘连而具有挑战性。（剩余12220字）