经腹腹腔镜腹股沟疝修补术56例报告  

Transabdominal preperitoneal laparoscopic inguinal herniorrhaphy (TAPP)(56cases report)

作　　者：谢学羿[1] 林唯栋[1] 林贾颖[1] 温顺前[1] 张小永[1] 

机构地区：[1]广东省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9期970-971,974,共3页China Journal of Endoscopy

摘　　要：目的探讨经腹腹腔镜腹股沟疝修补术(TAPP)的方法。方法回顾分析接受TAPP手术患者的临床资料、手术时间、住院时间以及治疗结果、并发症。结果共有48人56例腹股沟疝接受了TAPP手术,6例合并胆囊病变同时行腹腔镜胆囊切除术。24例单侧疝且无并发病者,手术时间40￣90min,平均70.8min;住院时间4￣7d,平均5.5d。术后出现腹股沟区疼痛1例(1/56,1.8%),腹股沟区积液血肿5例(5/56,8.9%)。经2￣14个月的随访,术后复发1例(1/56,1.8%),无粘连性肠梗阻病例发生。结论TAPP治疗腹股沟疝是安全有效的。[ Objective ] To investigate the methods of transabdominal preperitoneal laparoscopic inguinal hemiorrhaphy （TAPP）. [Methods] The clinical data, operation time, inpatient time, operation results and complications of the patients accepted TAPP were analyzed retrospectively. [Results] 48 cases （56 inguinal hernias） accepted TAPP and 6 cases with cholecyst diseases accepted laparoscopic cholecystectomy at the same time. Of the 24 cases with unilateral hernia and without other diseases, the operation time was 40-90 minuates and averagely 70.8 minuates; the inpatient time was 4-7 days and averagely 5.5 days. lease （1/56, 1.8%） had groin pain after operation. 5 cases （5/56, 8.9%） had seroma or hematoma, lease recurred after 2-14 months follow-up. There was no case of adhesive bowel obstruction. [Conclusions] TAPP is safe and effective.

关 键 词：腹腔镜 腹股沟疝修补术 

分 类 号：R656.21[医药卫生—外科学]