腹腔镜腹股沟疝修补术50例临床分析  

Laparoscopic hernioplasty in 50 cases.

作　　者：王存川[1] 乔巨峰[2] 李谦[2] 梁伟成[3] 陈鋆[1] 徐以浩[1] 

机构地区：[1]暨南大学医学院第一附属医院腹腔镜外科 [2]暨南大学医学院第五附属医院外科 [3]高州市人民医院普外科

出　　处：《中国实用外科杂志》2001年第2期88-90,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨腹腔镜腹股沟疝修补手术的方法 ,适应证及优缺点。方法　 5 0例腹股沟疝行腹腔镜疝修补术 ,其中斜疝 34例 ,隐性疝 7例 ,直疝 9例。行疝囊高位结扎 7例 ,经腹腔腹膜前铺网固定疝修补 (TAPP) 34例(4 0侧疝 ) ,完全腹膜外腹腔镜疝修补术 (TEP) 9例。结果　手术全部完成 ,手术时间 5 9 3(15 180 )min ,无中转手术 ,6例病人同时行阑尾切除术 ,2例同时行胆囊切除术。术后平均 5 4d出院。 1例直疝TAPP术后 8个月因补片过小而复发。结论　腹腔镜疝修补术是一种安全的手术 ,手术后恢复时间短 ,复发率低。Objective To study the method,indications,advantage and shortcoming of laparoscopic repair of inguinal hernia.Methods From Jun.1995 to Jun.2000,50 patients with inguinal hernia were treated with laparoscopy.There were 34 indirect inguinal hernia,9 direct inguinal hernia and 7 concealed hernia.The transabdominal preperitoneal laparoscopic mesh repair of hernia(TAPP) was performed in 34 patients.Closure of the internal orifice of hernia was performed in 7 patients.Totally extraperitoneal repair was performed in 9 patients.Results All cases were operated successfully.The mean operation time was 59 3(15~180)mins.The average length of postoperative stay was 5 4(3~7)days.There were no death record and no conversion operation.There was one early failure owing to the use of too small a piece of mesh.There has been no long-term recurrence.Conclusion The results indicate that mesh repair of hernias is a satisfactory technique with a low recurrence rate and a low major complication rate.

关 键 词：腹股沟疝 腹腔镜疝修补手术 手术适应证 疗效 

分 类 号：R656.210.5[医药卫生—外科学]