老年人腹腔镜腹股沟疝修补术(附56例报告)  

Laparoscopic repair for inguinal hernia in old-aged patients:56 cases report

作　　者：潘玉琴[1] 吴卫东[1] 方芳[1] 

机构地区：[1]上海交通大学医学院附属上海市第一人民医院普外科,上海200080

出　　处：《外科理论与实践》2012年第5期490-493,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:总结老年人腹腔镜腹股沟疝修补术的经验,分析术中和术后情况,了解该术式在老年病人中使用的安全性。方法:回顾分析2007年1月至2011年12月行腹腔镜腹股沟疝修补术56例64侧病人的临床资料,其中单侧腹股沟疝48例(斜疝34例,直疝10例,股疝4例),双侧腹股沟疝8例。术后平均随访时间(36±11)个月。结果:56例中完成经腹腹膜前(transabdominal preperitoneal,TAPP)补片植入术26例,完全腹膜外(totally extraperi-toneal,TEP)补片植入术30例。平均手术时间TAPP(78±14)min,TEP(64±10)min;术后平均住院时间(5.8±1.8)d;术后并发症依次为暂时性神经感觉异常37.5%(21/56)、慢性疼痛28.6%(16/56)和血清肿21.4%(12/56)。术后复发率1.8%(1/56)。结论:腹腔镜腹股沟疝修补在老年病人的使用中,有创伤小、恢复快、复发率低、安全性好等优点。Objective To analyze the clinical data of laparoscopic repairing for inguinal hernia in old-aged patients. Methods Clinical data of 56 cases with inguinal hernia in our department from Jan 2007 to Dec 2011 were retrospectively analyzed. There were 48 cases of single-sided hernia, including 34 indirect inguinal hernia, 10 direct inguinal hernia and 4 femoral hernia. The rest 8 cases were double-sided inguinal hernia. The follow-up was done on （36＋ 11） months after operation. Results All cases underwent laparoscopic repair successfully. There were 26 case with transabdominal preperitoneal （TAPP） and 30 cases with totally extraperitoneal （TEP）. The average operative time was （78＋ 14） min for TAPP and（64＋10） rain for TEP. The average length of postoperative stay was（5.8＋1.8） days. The most common postoperative complications were transient paresthesia （37.5% ,21/56）, chronic pain（28.6%, 16/56） and seroma （21.4%, 12/ 56）. The recurrence rate was 1.8%（1/56）. Conclusions Laparoscopic repair for inguinal hernia has the advantage of less trauma, faster recovery and lower recurrent rate for old-age patients with sufficient safety.

关 键 词：腹股沟疝 腹腔镜 疝修补术 老年人 

分 类 号：R656.21[医药卫生—外科学]