单孔腹腔镜腹壁切口疝无张力修补术  

Tension-free Hernioplasty of Ventral Incisional Hernia by Laparoendoscopic Single-site Surgery

作　　者：朱震宇[1] 段伟宏[1] 郝法涛[1] 王龙跃[1] 王鑫[1] 刘全达[1] 周宁新[1] 

机构地区：[1]解放军第二炮兵总医院肝胆胃肠病研究所,北京100088

出　　处：《中国现代手术学杂志》2012年第3期185-188,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨应用单孔腹腔镜器械行腹壁切口疝无张力疝修补的可行性及治疗效果。方法对1例二次腹部术后出现腹壁切口疝的女性病人,应用单孔腹腔镜器械行无张力疝修补。患者取仰卧位,全身麻醉,于左腋前线平脐平面建立长约2.5 cm横行切口,放置Tri-port,电刀分离粘连,将补片通过Tri-port放入腹腔,通过钩针及螺旋钉枪(Protack)将补片固定在腹壁上。结果手术时间90 min,术中出血量<10 ml,术后住院时间7 d。术后1月复查切口愈合好,疝无复发。结论应用单孔腹腔镜器械行腹壁切口疝无张力疝修补安全可行,手术时间与传统腹腔镜时间无明显差别,但其更具微创美容效果。Objective To investigate the feasibility and therapeutic effectiveness of tension-free hernioplasty of ventral ineisional hernia by laparoendoscopic single-site surgery. Methods One female patient of ventral incisional hernia received twice abdominal operations was performed tension-free hernioplasty via laparoendoscopic single-site surgery. The operating procedure was as follows： After general anesthesia, a transverse incision with 2.5 cm length was made at the crossed site of umbilical plane and left anterior axillary line with the patient in supine position. A Tri-port was placed via the transverse incision. Followed disassociating the ad- hesions, the mesh was placed and fixed to the abdominal wall by hooked needle and Protack. Results The operation time was 90 minutes and blood loss was less than 10ml. The postoperative hospital stay was 7 days. The incision healed well and no hernia recurred 1 month follow-up after the operation. Conclusions It is safe and feasible of the tension-free hernioplasty for ventral incisional hernia via laparoendoscopic single-site surgery. Compared with traditional laparoscopic operation, it appears no difference in operation time and better cosmetic results with less injury.

关 键 词：腹腔镜检查 疝 切口 疝修补术 无张力 

分 类 号：R656.24[医药卫生—外科学]