腹腔镜下完全腹膜外疝修补术12例  

Laparoscopic Repair of Inguinal Hernia by Totally Extraperitoneal Prosthesis a report of 12 cases

作　　者：张燕忠[1] 张彧[1] 田志宏[1] 常毅刚[1] 黄博[1] 冯变喜[1] 

机构地区：[1]山西省人民医院普通外科,030012

出　　处：《中华疝和腹壁外科杂志（电子版）》2009年第3期33-35,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜下完全腹膜外疝修补术(TEP)的可行性和安全性。方法自2008年6月至2009年4月在全身麻醉下行腹腔镜下完全腹膜外疝修补术共12例次(10例患者),其中双侧腹股沟疝2例,斜疝10例,直疝2例。结果手术全部成功,平均手术时间(40.5±15.8)min,术后平均住院时间(2.7±1.2)d,恢复日常活动时间(5.2±1.3)d,术中腹膜破裂1例,术后无阴囊血肿和其他手术并发症发生。随访时间1～5个月,复发1例,未见腹股沟区慢性疼痛等并发症。结论TEP是一种可行、安全、有效的无张力疝修补技术,能明显降低手术费用并获得最佳卫生经济学效益,可减少腹股沟区慢性疼痛症状的发生。Objective to study the feasibility and safety of laparoscopic repair of inguinal hernia by totally extraperitoneal prosthesis. Methods under general anesthesia, 10 patients with 12 inguinal hernias were repaired by laparoscopic totally extraperitoneal prosthesis during the time from June 2008 to April 2009, including 2 cases of bilateral inguinal hernias, 10 cases of indirect inguinal hernia and 2 cases of direct inguinal hernia. Results all the operations were successful. The mean operation time was （40.5 ± 15.8） min, the mean postoperative hospital stay was （2.7 ± 1.2）d, and the mean duration to normal activities was （5.2 ± 1.3） d. 1 case had laceration of peritoneum during operation and no seroma of scrotum or other complications after operation. During the follow-up of 1 to 5 months, 1 case recurred, but no chronic pain in operation area or other complications occured. Conclusions laparoscopic repair of inguinal hernia by totally extraperitoneal prosthesis is a feasible, safe and efficient tension -free technique for inguinal hernia repair, it can decrease the cost of operation and offer the best clinical and cost-effective results. The procedure can also reduce the chance of chronic pain in inguinal area.

关 键 词：疝 腹股沟 腹腔镜 完全腹膜外疝修补术 

分 类 号：R656.2[医药卫生—外科学]