腹腔镜全腹膜外疝修补术治疗腹股沟疝的临床体会  

Clinical experience of laparoscopic total extraperitoneal inguinal hernioplasty

作　　者：王小忠[1] 谢锷[1] 洪伟勤[1] 彭启全[1] 黄耀奎[1] 

机构地区：[1]广东省汕头市中心医院外科,515031

出　　处：《中华疝和腹壁外科杂志（电子版）》2009年第3期14-16,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的总结应用腹腔镜行全腹膜外疝修补术治疗120例腹股沟疝的经验。方法回顾性分析2006年1月至2008年12月期间治疗120例成年人Ⅰ～Ⅲ型腹股沟疝患者的临床资料。结果全部病例经手术治疗痊愈。术后恢复良好,无明显疼痛,无伤口感染。术中发生合并症12例。随访复发1例。结论腹腔镜行全腹膜外疝修补术具有术后疼痛轻、恢复快、功能丧失少、复发率低的优点。但该术式与传统的疝修补术比较,其治疗费用及对手术技巧的要求均较高,且在开展本术式的初期阶段手术时间(单侧疝)较长是其缺点。Objective To summarize therapeutic effect and experience of 120 patients with inguinal hernia treated by laparoscopic total extraperitoneal inguinal hernioplasty. Methods Clinical data of 120 adult patients diagnosed with type I-III inguinal hernia during Jan. 2006 to Dec. 2008 were analyzed. Results All the patients were cured through operation with good rehabilitation. None of them had complaints of postoperative pain and wound infection. There were 12 cases with intraoperative complications, and 1 case with recurrence in follow-up. Conclusions Laparoscopic total extraperitoneal inguinal hernioplasty has the advantages of mild postoperative pain, rapid recovery, few function loss and low recurrence rate. But comparing with traditional herniorrhaphy, this operation type requires higher expense and better operative technique, and the disadvantage is that it needs longer operation duration in primary stage （unilateral hernia）.

关 键 词：疝 腹股沟 腹腔镜 疝修补术 

分 类 号：R656.2[医药卫生—外科学]