腹腔镜下成人脐疝修补术26例疗效分析  

Laparoscopic repair of umbilical hernia in adults:a curative effects analysis of 26 cases

作　　者：梁庆余[1] 谢佳明[1] 吴浩荣[1] 任杰[1] 

机构地区：[1]苏州大学附属第二医院普外科,苏州215004

出　　处：《中华腔镜外科杂志（电子版）》2013年第4期38-41,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜下成人脐疝修补术的有效性、优越性及临床疗效。方法回顾性分析2007年11月至2013年03月苏州大学附属第二医院普外科26例腹腔镜脐疝修补术患者的临床资料。结果26例患者均顺利完成腹腔镜脐疝修补术，除1例疝环较小行腔镜下直接缝合修补外，均行腹腔内补片置入修补术（IPOM）。合并胆结石2例，同时行腹腔镜胆囊切除术，合并肝囊肿及白线疝1例，同时行腹腔镜下肝囊肿去顶术及白线疝修补术。术后住院3—7d，平均4d。术后随访3～63个月，平均28个月。复发1例；发生血清肿2例；术后发生腹壁钉合区域疼痛6例。结论腹腔镜下成人脐疝修补术是一种微创、安全、有效的方法，且有较好的保脐美容效果。Objective To evaluate laparoscopic repair of umbilical hernia in adults. Methods The clinical and follow-up data of 26 cases of laparoscopic umbilical hernia repair performed from November 2007 to March 2013 at the 2^rd Affiliated Hospital of Soochow University were analyzed retrospectively. Results 26 patients with umbilical hernia were treated successfully with laparoscopy repair.All the patients were treated with intraperitoneal onlay mesh except one case with direct suture repair under laparoscopy due to the small hernia ring. Two cases with gallstones were treated with laparoscopic cholecystectomy at the same time,one case with hepatic cyst and white line hernia was performed on liver cyst unroofing and white hernia repair under laparoscopy . The postoperative hospitalization were ranged from3 to 7 days （mean 4 days） . The patients were followed up for 3-63 months （ mean 28 months）. One case recurrence in this group for direct suture repair~ Seroma occurred in two cases, 6 cases with regional pain in the incisional abdominal wall. Conclusion Laparoscopic umbilical hernia repair in adults is minimally invasive, safe and effective.In addition,the procedure can retain umbilicus with better cosmetic result.

关 键 词：脐疝 腹腔镜 疝修补术 膨出 

分 类 号：R656.2[医药卫生—外科学]