3DMax补片在腹腔镜腹股沟疝修补术中的应用(附68例报告)  

Clinical application of 3DMax patch in the laparoscopic inguinal hernia repair:a report of 68 cases

作　　者：陈丹磊[1] 李际辉[1] 郑成竹[1] 柯重伟[1] 印慨[1] 胡旭光[1] 

机构地区：[1]第二军医大学附属长海医院微创外科,上海200433

出　　处：《中国实用外科杂志》2009年第6期504-505,共2页Chinese Journal of Practical Surgery

摘　　要：目的评价3DMax补片在腹腔镜腹股沟疝修补术中的应用价值。方法回顾性分析2006年10月至2008年7月第二军医大学附属长海医院微创外科应用3DMax补片行腹腔镜腹股沟疝修补术的临床资料。结果68例病人中Ⅰ型疝4例,Ⅱ型疝45例,Ⅲ型疝16例,Ⅳ型疝3例;斜疝53例,直疝13例,股疝2例。67例完成腔镜下修补,经腹腹膜前网片疝修补术(TAPP)19例,腹腔镜下全腹膜外修补术(TEP)48例;1例因疝囊过大疝内容物无法还纳中转开放修补。手术时间30～65min,平均40min。术后排气时间1～2d,术后平均住院2d。术后发生阴囊血清肿2例,小肠梗阻再手术1例。随访3～24个月,无复发病例。结论腹腔镜腹股沟疝修补术具有创伤小、恢复快及复发率低等优点,采用预先成型的3DMax补片使手术操作更加简便、并发症发生率更低。Objective To evaluate the clinical value of 3DMax patch in the laparoscopic inguinal hernia repair. Methods The clinical data of 68 cases of laparoseopic inguinal hernia repair using 3DMax patch between October 2006 and July 2008 at the Minimally Invasive Surgery Center, Changhai Hospital of the Second Military Medical University were analyzed retrospectively. Results Among 68 cases, 4, 45 and 16 cases were stype Ⅰ, Ⅱ and Ⅲ respectively. Fifty-three, 13 and 2 cases were indirect hernia, direct hernia and Cloguet＇s hernia respectively. Sixty-seven cases were performed laparoscopic repair successfully. TAPP and TEP were performed in 19 and 48 cases. One case was converted to open surgery due to difficuhy to draw back the omenta inside the hernia sac. The operation time was fi＇om 30 to 65min with the mean of 40min. The mean time of post-operation hospital stay was 2 days. Scrotum seroma was occurred in 2 cases. Small bowel obstruction reoperation was performed in 1 case. No recurrence was found during the follow-up period of 3-24 months. Conclusion Laparoscopic inguinal hernia repair has the advantage of minor injury, quicker recovery and lower recurrence rate compared with open surgery. The application of 3DMax patch makes the operative procedure more convenient, and makes the complication incidence more lower.

关 键 词：腹股沟疝修补腹腔镜 

分 类 号：R6[医药卫生—外科学]