经腹腔腹膜前补片腹腔镜腹股沟疝修补术170例报告  

Laparoscopic transabdominal preperitoneal repair of inguinal hernia:experience of 170 cases

作　　者：张松柏[1] 王存川[1] 胡友主[1] 陈鋆[1] 许朋[1] 

机构地区：[1]暨南大学第一附属医院,广东广州510630

出　　处：《腹腔镜外科杂志》2006年第4期288-289,共2页Journal of Laparoscopic Surgery

摘　　要：目的：探讨经腹腔腹膜前补片腹腔镜腹股沟疝修补术（TAPP）治疗腹股沟疝的方法与经验。方法：1995年6月～2005年7月应用TAPP治疗170例腹股沟疝，采用网状补片常规固定、腹膜常规连续缝合关闭等方法。结果：170例手术均获成功，无中转开放手术，平均手术时间52．5（40～120）min，术后平均住院4．5d。术后随访1～11年，1例直疝复发。结论：TAPP是一种安全可靠的疝修补术，具有复发率低等优点，特别适于复发疝、双侧疝等，值得推广应用。Objective： To discuss the experience of laparoscopic transabdominal preperitoneal repair of inguinal hernia （TAPP）. Methods： From 1995.6 to 2005.7 we performed TAPP to 170 cases with inguinals hernia. The techniques used in operations included mesh patch, patch regular fix and peritoneum regular continuous sew up. Results： Operations were successfully done to all cases. The operative time ranged from 40 to 120 min. The average hospitalization was 4.5 days. Postoperative follow-up ranged from 1 to 11 years. Only 1 case of direct hernia relapsed. Condusions： TAPP is a safe and reliable method. It has the advantage of low relapse rate and is especially suitable for bilateral and recurrent hernia. It the deserves to be expanded.

关 键 词：腹腔镜 疝 腹股沟 疝修补术 

分 类 号：R656.21[医药卫生—外科学]