老年人腹腔镜术后Trocar部位疝10例临床分析  

Clinical analysis of trocar site hernia after laparoscopic surgery in 10 elderly patients

作　　者：王杰[1] 何震宇[1] 闻浩[1] 刘翔[1] 董小刚[1] 

机构地区：[1]南京医科大学第二附属医院普外科,江苏省南京市210011

出　　处：《实用老年医学》2013年第4期318-320,共3页Practical Geriatrics

摘　　要：目的探讨老年人腹腔镜术后Trocar部位疝(TSH)发生的原因、分型、诊治方法及预防。方法选取2008年11月至2011年11月南京医科大学第二附属医院收治腹腔镜术后发生的TSH10例进行回顾性分析。结果 2例采用腹腔镜IPOM(腹腔内补片放置)术式,7例采用了Sublay法,1例行腹腔镜小肠回纳,疝内口修补术。术后恢复良好,无严重并发症,随访1～3年,尚无复发病例。结论 TSH发生因素复杂,根据发生的时间和形态可将其分为早发型、迟发型和特殊型,需要手术修补治疗,术后控制引起腹压增高的因素及缝合Trocar切口筋膜是有效的预防方法。Objective To explore the etiology, classification, treatment, and prevention of trocar site hernia (TSH) after laparoscopic surgery. Methods Ten cases with TSH after laparoscopic surgery from November 2008 to November 2011 were analyzed retrospectively. Results Of 10 cases, 2 cases received laparoscopic IPOM (intraperitoneal onlaying mesh placement) operation, 7 cases received the Sublay method, and 1 case underwent laparoscopic small bowel returning.There were no other serious complications. No recurrence occurred in follow-up of 1-3 years. Conclusions The risk factors of TSH which requires surgical repair are multiple. An effective method of preventing TSH is to control factors which increase abdominal pressure and to suture trocar incision fascia.

关 键 词：老年人 腹腔镜手术 切口疝 并发症 

分 类 号：R656.2[医药卫生—外科学]