应用腹腔镜技术诊治疝和腹壁外科疾病利弊思考  

Pros and cons of laparoscopic techniques in the application of hernia and abdominal wall surgery

作　　者：陈双[1] 宗振[1] 

机构地区：[1]中山大学附属第六医院胃肠疝和腹壁外科,广东广州510655

出　　处：《中国实用外科杂志》2015年第11期1150-1152,共3页Chinese Journal of Practical Surgery

摘　　要：腹腔镜技术的优点较多,除了延长术者视线、扩大视野、改变手术入路和观察方式外,高清的摄像系统使操作更清楚、精细,减轻了病人术后疼痛,可早期恢复日常生活和工作,同时降低了手术的复发率。然而,腹腔镜疝修补术对技术要求更高,学习曲线更长,费用也相对较高。腹腔镜手术的并发症处理较棘手。此外,腹腔镜手术难以像开放手术一样满足个体化治疗的需求。因此,对于不同的病人,应用腹腔镜技术还是行常规的开放手术,术者须严格掌握手术适应证,发挥各自所长。The advantages of laparoscopic technology are obvious. It provides surgeons more extended sight and expanded vision, and changes the operation approach and observation method at the same time. High definition camera system makes the operation clearer and more precise. Postoperative patients have mild pain, early recovery of daily life and work, low recurrence rate and other advantages. However, laparoscopic technique also has some unavoidable disadvantages and shortcomings, such as, higher cost of laparoscopic equipment and instruments, longer learning curve, harder to meet the needs of individual treatment, possible intractable complications, etc. Therefore, it is important for surgeons to select appropriate surgical indications for each patient when decide to choicelaparoscopic technology or open operation, exerting the advantages of different surgical approaches as much as possible.

关 键 词：腹腔镜 腹股沟疝 腹壁切口疝 

分 类 号：R6[医药卫生—外科学]