腹腔镜经腹腔腹膜前网片植入术治疗腹股沟疝  

Laparoscopic transabdominal preperitoneal patch repair for inguinal hernia

作　　者：林森旺[1] 孙镇蛟 金旭文 张维萍[1] 

机构地区：[1]上海市中西医结合医院微创外科,上海200082

出　　处：《中国微创外科杂志》2006年第12期948-949,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜经腹腔腹膜前网片植入术（transabdominal preperitoneal patchrepair，TAPP）治疗腹股沟疝的手术特点及疗效。方法回顾性分析1998年3月-2005年11月82例TAPP的临床资料。结果82例TAPP均获成功，无一例中转开腹手术。手术时间（57．5±16．7）min（34-126min）。手术后阴囊血肿1例，无其他并发症。术后不用镇痛剂。下床活动时间（1．8±0．5）d（1-3d），术后住院（6．6±0．8）d（3-9d）。随访时间〉1年者58例，无一例复发。结论腹腔镜TAPP采用后入路途径，遵循疝修补无张力原则，复发率低，是诊治腹股沟疝的有效手段。Objective To investigate characteristics and effectiveness of laparoscopic transabdominal preperitoneal patch （TAPP） repair for inguinal hernia. Methods Clinical records of 82 cases of inguinal hernia treated by TAPP from March 1998 to November 2005 were reviewed. Results TAPP was performed successfully in all the cases, without conversions to open operation required. The duration of TAPP was 57.5 ± 16.7 min （34 - 126 min）. Postoperative hematoma of scrotum occurred in 1 case （1/82）, and no other perioperative complications occurred. No analgesic was used. The time to ambulation was 1.8 ±0.5 d （1 - 3 d） , and the length of postoperative hospitalization was 6.6 ±0.8 d （3 - 9 d）. Fifty-eight cases were followed for more than one year. No inguinal hernia recurrence was found. Conclusions Laparoscopic TAPP is a tension-free and minimally invasive technique for the repair of inguinal hernia through posterior approach, offering a low recurrence rate.

关 键 词：腹股沟疝修补术 腹腔镜 经腹腔腹膜前网片植入术 

分 类 号：R656.21[医药卫生—外科学]