不钉合补片的腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术分析(附32例报道)  

Laparoscopic Totally Extraperitoneal Hernia Repair with Non-Stapling of Mesh and Without Using A Balloon Dissection(Report of 32 Cases)

作　　者：单保安[1] 洪亮[1] 计小刚[1] 李庆春[1] 

机构地区：[1]江苏省大丰市人民医院普外科,大丰224100

出　　处：《中国普外基础与临床杂志》2009年第2期102-104,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的总结不钉合补片的腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术临床应用的初步体会和经验,为该手术的推广及普及提供借鉴。方法我院自2005年8月至2007年12月期间共有32例腹股沟斜疝患者在全麻下行不钉合补片的腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术。结果全部患者均成功施行不钉合补片腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术,单侧22例,双侧10例。手术时间60～120min,术中出血20～60ml,1例脐下5mmTrocar置入处切口补片外露,剪除外露补片重新缝合后痊愈。全部患者均在术后3d出院,随诊8～18个月,无复发病例。结论不钉合补片的腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术安全、可靠,术后疼痛轻、恢复快、复发率低。手术时若能掌握手术要领和技巧,可以缩短学习曲线。手术并不困难,但需要全麻,费用较传统方法高。Objective To evaluate the clinical experience and skills of laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a balloon dissection in order to spread and popularize this kind of operation. Methods Under general anesthesia, 32 patients （42 sides） with inguinal hernias were repaired by laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a dissection balloon from August 2005 to December 2007. Results All of operations were successfully performed. The operative time was 60-120 minutes, the blood loss was 20-60 ml, and the length of postoperative hospitalization was 3 days. All cases were followed up for 8 to 18 months and found no recurrence. Conclusion Laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a balloon dissection is feasible, reliable and effective, offering a low recurrence rate, while its price is higher than tension-free herniorrhaphy by traditional method.

关 键 词：腹腔镜 腹股沟疝 全腹膜外免气囊分离器腹股沟疝修补术 

分 类 号：R656.21[医药卫生—外科学]