腹部疝疾病腹腔镜手术治疗30例体会  

Experience in laparoscopic treatment of abdominal hernia in 30 cases.

作　　者：苏洋[1] 吴硕东[1] 许东[1] 咸国哲[1] 

机构地区：[1]中国医科大学附属盛京医院第一微创外科胆道外科,沈阳110004

出　　处：《中国综合临床》2009年第11期1180-1182,共3页Clinical Medicine of China

摘　　要：目的探讨腹腔镜手术治疗腹部各类疝疾病的技巧和体会。方法回顾分析2004年5月至2008年12月腹腔镜手术治疗的腹部疝疾病患者30例的临床资料。腹股沟疝23例，行完全腹膜外疝修补术（TEP）20例，行TAPP3例。腹壁切15／疝4例，行腹膜内补片植入疝修补术（IPOM）。食管裂孔疝3例，采用Nissen法胃底折叠术。结果TEP平均手术时间72min，平均住院时间4．6d。TAPP平均手术时间127min，平均住院时间5．8d。IPOM平均手术时间150min，平均住院时间7．5d。食管裂孔疝修补Nissen式胃底折叠术平均手术时间160min。平均住院时间5．3d。各组患者无中转开腹手术病例，术后恢复良好，未见复发病例。结论腹腔镜下疝修补术治疗各种腹部疝疾病操作简便，效果确切，可以充分发挥腹腔镜技术的微创优势。Objective To investigate the clinical skill and experience of laparoscopic herniorrhaphy in the treatment of abdominal hernia. Methods Clinical data of 30 cases of abdominal hernia undergoing laparoscopic herniurrhaphy in Shengjing Hospital from May 2004 to December 2008 were analyzed retrospectively. There were 23 inguinal hernia,4 incision hernia and 3 hiatal hernia. TEP in 20 cases,TAPP in 3 cases, IPOM in 4 cases and Nissen hiatal hernia repair in 3 cases were performed. Results The mean operating duration was 72 min for TEP, 127 for TAPP,150 min for IPOM,and160 min for hiatal hernia repair and the mean time for hospitalization was 4.6,5.8, 7.5, and 5.3 days. No conversion to open surgery happened among these cases. No reeurrenee was found. Conclusions Laparoscopic herniorrhaphy appears to be an effective and convenient technique for the treatment of abdominal hernia and has many advantages of minimally invasive surgery.

关 键 词：腹腔镜 疝 疝修补术 

分 类 号：R656.2[医药卫生—外科学]