完全腹膜外疝修补术68例  

Sixty-eight cases of total extraperitoneal(TEP)laparoscopic inguinal hernia repair

作　　者：岑宏[1] 汤聪[1] 梁文丰[1] 殷放[1] 苏远航[2] 汤治平[2] 

机构地区：[1]中山大学附属第五医院普外四区,珠海519000 [2]中山市博爱医院普外科

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第6期43-45,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的 探讨如何安全可靠地进行完全腹膜外疝修补术（TEP）.方法 回顾性分析2009年9月至2013年5月中山大学附属第五医院采用TEP治疗腹股沟疝患者68 例,根据局部解剖标志,分析手术操作细节,总结临床经验.结果 68 例患者手术均获成功,无中转开放手术或经腹腹膜前腹腔镜疝修补手术.平均手术时间单侧 （96±11） min,双侧 （125±10） min.住院时间 4～14 d,平均 （9±3） d.术后恢复日常活动时间 2～5 d,平均 （3±1） d.血清肿 2 例（2.9%）,术后腹股沟区慢性疼痛 5 例（7.4%）.随访1～36 个月,术后无复发,无补片感染,无肠管损伤.结论 辨清局部解剖标志结合连贯细致的手术操作,该手术可安全可靠地完成,达到腹股沟疝治疗的目的.Objective To explore safety and reliability of the total extraperitoneal （TEP） laparoseopic inguinal hernia repair. Methods Of all the 68 cases with TEP procedure in The Fifth Affiliated Hospital, Sun Yat-Sen University, the clinical data collected in medical records were analyzed. According to local anatomic markers, the operation details were analyzed. Results All total extraperitoneal laparoscopic surgery operations were successful, no conversion to open surgery or laparoscopic transabdominal preperitoneal hernia repair surgery was observed. The average operation time in one side hernia and two sides were （96 ± 11 ） minutes and （ 125 ± 10） minutes, respectively. Hospitalization time was 4 to 14 days （ mean 9 ± 3 ） days. The recovery time was 2 to 5 days （ mean 3± 1 ） days after operation. Two cases （ 2.9% ） were found to have seroma and 5 patients （7.4%） suffered chronic pain in the groin area after surgery. All patients were followed up for 1 to 36 months. No patient was reported with recurrence, patch infection or bowel injury after surgery. Conclusions The coherent combination of local anatomic markers meticulous surgical operation should be identified, the operation can be completed safely and reliably, and reach the inguinal hernia therapeutic purposes.

关 键 词：疝 腹股沟 疝修补术 腹腔镜 

分 类 号：R656.2[医药卫生—外科学]