腹腔镜TAPP技术在治疗腹股沟复发疝中的应用  

Application of Laparoscopic Transabdominal Preperitoneal Hernia Repair for Recurrent Inguinal Hernia

作　　者：赵学飞[1] 聂玉胜[1] 刘静[1] 王明刚[1] 陈杰[1] 

机构地区：[1]首都医科大学附属北京朝阳医院疝和腹壁外科,北京100020

出　　处：《中国普外基础与临床杂志》2013年第12期1344-1348,共5页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨腹腔镜经腹腹膜前（TAPP）疝修补术治疗腹股沟复发疝的手术技巧及临床效果。方法回顾性分析2009年3月至2012年12月期间首都医科大学附属北京朝阳医院行腹腔镜TAPP疝修补术治疗的130例腹股沟复发疝患者的临床资料。结果129例患者的腹腔镜TAPP疝修补术顺利完成，1例中转开放手术。手术时间为（54．5±16．1）min（30～100min），住院时间为（4．5±2．1）d（2～11d）。术后疼痛发生率为3．8％（5／130），阴囊肿胀积液发生率为11．5％（15／130），排尿困难发生率为1．5％（2／130），无体内异物感、切口感染、肠梗阻等其他并发症发生。术后130例患者均获访，随访时间为7～50个月、（24．3±11．3）个月，无复发。结论对于腹股沟复发疝的治疗，腹腔镜TAPP疝修补术具有创伤小、并发症少等优势，且其手术安全性高，效果切实可靠。Objective To explore the surgical techniques and the clinical effect of laparoscopic transabdominal preperitoneal （TAPP） hernia repair for recurrent inguinal hernia. Methods Clinical data of 130 cases of recurrent inguinal hernia who underwent TAPP hernia repair from Mar. 2009 to Dec. 2012 in Beijing Chao-Yang Hospital of Capital Medical University were retrospectively analyzed. Results Operations were completed successfully in 129 cases and 1 case was converted to open surgery. The operation time was （54. 5± 16. 1） min （30-100 min） and the hospital stay was （4. 5±2. 1） d （2-11 d）. The rates of postoperative pain, hydrocele, and urinary retention were 3.8% （5/130）, 11.5% （15/130）, and 1.5% （2/130） respectively. There were no complications such as foreign body sensation, wound infection, and intestinal obstruction after operation. All cases were followed-up for 7-50 months [ （24. 3 ± 11.3） months） ] with no recurrence was observed. Conclusions Laparoscopic TAPP hernia repair for recurrent inguinal hernia has advantages of minimal invasion and few complications, who is safe and effective.

关 键 词：经腹腹膜前疝修补术 腹腔镜 腹股沟疝 复发 

分 类 号：R656.21[医药卫生—外科学]