腹腔镜下疝修补术治疗肥胖患者巨大切口疝21例的经验总结  

Laparoscopic hernia repair in obese patients with giant incisional hernia: the experience summary of 21 cases

作　　者：曹廷宝[1] 韩晓鹏[1] 李三党 李东伟[1] 魏登文[1] 景化忠[1] 刘宏斌[1] 

机构地区：[1]兰州军区兰州总医院普通外科,730050

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第4期21-23,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨肥胖患者巨大切口疝的微创手术治疗效果及并发症。方法回顾性分析2009年7月至2013年12月,兰州军区兰州总医院21例肥胖巨大切口疝患者行腹腔镜切口疝修补术的临床资料。结果本组21例患者,中转开腹1例,顺利完成手术20例。手术时间75～230 min,平均（124±39）min,术后随访4～49个月,复发1例（5%）;腹壁疼痛1例（5%）;血清肿1例（5%）;无手术部位感染、腹腔间室综合征等严重并发症。结论腹腔镜巨大切口疝修补术应用于肥胖患者,具有微创、恢复快、并发症小及复发率低等优势,值得临床推广应用。Objective To explore the clinical effect and complications of the minimally invasive surgical therapy for huge incisional hernia in obese patients.MethodsA retrospective analysis was conducted on 21 obese patients with giant incisional hernia, who underwent laparoscopic incisional hernia repair （LIHR） from July 2009 to December 2013 in Lanzhou Army General Hospital.Results Of these patients, one converted to laparotomy, and 20 cases were successfully completed with LIHR. The operative time were 75 to 230 minutes, average of（124 ± 39） minutes. All patients were followed up for 4 to 49 months; one recurrence （5%）, one abdominal pain （5%） and one seroma （5%） occurred; there were no serious complications （such as surgical site infections, abdominal compartment syndrome, etc.）.ConclusionLIHR for huge incisional hernia in obese patients has been showed to be minimally invasive, quick recovery, low complications and recurrence rate, and it is worthy of clinical promotion.

关 键 词：肥胖 疝修补术 腹腔镜 

分 类 号：R656.2[医药卫生—外科学]