腹腔镜完全腹膜外腹股沟疝修补术的初期体会  

The preliminary experience in laparoscopic totally extraperitoneal prosthesis for inguinal hernia

作　　者：赵曦[1] 张子通[1] 郭日昌[1] 陈建良[1] 牛靖志[1] 梁健涛[1] 

机构地区：[1]广东医学院附属厚街医院,广东东莞523945

出　　处：《腹腔镜外科杂志》2012年第8期608-610,共3页Journal of Laparoscopic Surgery

摘　　要：目的:总结初期开展腹腔镜完全腹膜外腹股沟疝修补术(totally extraperitoneal prosthesis,TEP)的临床经验。方法:回顾分析2009年6月至今施行22例次腹腔镜TEP的临床资料。结果:19例顺利完成TEP,3例中转经腹腔腹膜前补片植入术。手术时间平均65 min,术中出血量平均12 ml;术后发生阴囊气肿1例、阴囊血肿2例、明显疼痛3例、复发3例。结论:腹腔镜TEP经腹膜前间隙进入腹股沟区,采用补片完全覆盖耻骨肌大孔,符合人体生理力学原理,是安全、可行的。Objective ：To summarize the preliminary experience in laparoscopic totally extraperitoneal prosthesis （TEP） for in- guinal hernia. Methods ： From Jun. 2009 to now, the clinical data of 22 cases undergoing laparoseopie TEP for inguinal hernia was ana- lysed retrospectively. Results：Nineteen operations were successfully performed, and 3 cases were converted to transabdominal preperito- neal prosthesis. The mean operating time was 65 rain. The mean intraoperative blood loss was 12 ml. Postoperative scrota[ emphysema occurred in 1 case, scrotal hematoma in 2 cases, obvious pain in 3 cases, and recurrence in 3 cases. Conclusions ： Laparoscopie TEP accesses to the groin area through preperitoneal space, uses patches to completely cover the pectineus macroporous, has advantages of min- imal invasion and conforms to principles of physiological mechanics. It is safe and feasible for inguinal hernia.

关 键 词：疝 腹股沟 疝修补术 腹腔镜检查 初期体会 

分 类 号：R656.21[医药卫生—外科学]