经腹腹膜前腹腔镜疝修补术的并发症防治  

Recurrence and complications on transabdominal preperitoneal laparoscopic inguinal herniorrhaphy (TAPP)

作　　者：林唯栋[1] 谢学羿[1] 温顺前[1] 林贾颖[1] 

机构地区：[1]广东佛山市第二人民医院普外科,广东佛山528000

出　　处：《中国内镜杂志》2005年第8期872-874,共3页China Journal of Endoscopy

摘　　要：目的探讨经腹腹膜前腹腔镜腹股沟疝修补术(TAPP)的手术效果与并发症的防治.方法回顾分析2003年3月～2004年10月接受TAPP手术患者的临床资料以及治疗结果、并发症.结果共有100人123例次施行了TAPP术,其中合并胆囊病变及慢性阑尾炎各为12及1例,同时行腹腔镜胆囊切除术及阑尾切除术;50例单侧疝且无并发病的手术时间(65.7±14.8)min,住院时间(5.3±0.9)d;123例中术后腹股沟区疼痛1例,腹股沟区血清肿及血肿8例;经3～23个月的随访,术后复发1例,无腹股沟区慢性疼痛病例,无粘连性肠梗阻病例.结论TAPP治疗腹股沟疝是安全有效的,并发症及复发率可以接受.[Objective] To evaluate the recurrence and complications on transabdominal preperitoneal laparoscopic inguinal herniorrhaphy （TAPP）. [Methods] The clinical data of the patients accepted TAPP from 2003.3 to 2004.10, operation results and complications were analyzed retrospectively. [Results] 100 cases （123inguinal hernias） accepted TAPP and 12cases with cholecyst diseases and lcase with chronic appendicitis accepted taparoscopic cholecystectomy and appendectomy respectively at the same time. Of the 50cases with unilateral hernia and without other diseases, the operation time was （65.7±14.8） minuates, the impatient time was （5.3±0.9） days. lcase （1/123, 0.8%） had groin pain after operation. 8 cases （8/123,6.5%） had seroma or hematoma. I cases （1/123, 0.8%） had recurred, but there was no case of adhesive bowel obstruction or chronic groin pain after 3-23months follow-up. [Conclusions] TAPP is safe and effective, the recurrence rate and complications are acceptable.

关 键 词：腹股沟疝修补术 腹腔镜 复发 并发症 

分 类 号：R656.2[医药卫生—外科学]