腔镜Lichtenstein无张力修补术治疗腹股沟疝的临床观察  

Clinical observation of laparoscopic Lichtenstein hernia repair in the treatment of inguinal hernia

作　　者：田小林[1] 朱小宝[2] 庞凌坤[1] 王海鹏[1] 朱袭嘉[1] 将世宇 戴凌[2] 

机构地区：[1]桂林医学院第二附属医院胃肠外科,广西桂林市541199 [2]桂林医学院附属医院胃肠外科,广西桂林市541001

出　　处：《微创医学》2016年第6期860-862,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨腔镜Lichtenstein无张力修补术治疗腹股沟疝的效果。方法对一例成人腹股沟疝患者,全麻下于腹股沟区外上方选择观察孔和两个操作孔,腹外斜肌腱膜深面分离、显露腹股沟管各结构,分离精索并高位离断,结扎疝囊,于精索后完成Lichtenstein无张力修补术。结果手术顺利,术后无并发症,于术后第2天出院,随访3月无复发。结论腔镜Lichtenstein无张力修补术可以作为腹股沟疝的治疗手段,具有微创、美容、恢复快、无明显并发症等效果。Objective To explore the clinical effect of laparoscopic Lichtenstein hernia repair in the treatment of inguinal hernia. Method One observation hole and two operating hole were choose above the groin area under the general anesthesia; the structures of the inguinal canal were separated and revealed in the deep surface of aponeurosis of obliquus externus abdominis; the spermatic cord was separated and hernial sac was highly divided and ligatured,and then Lichtenstein tension-free repair was completed after the spermatic cord. Results Surgery was successful and without postoperative complications; the patient was discharged in the second day after operation and was followed up for 3 months without recurrence. Conclusion Laparoscopic Lichtenstein tension-free repair can be used as inguinal hernia treatment,with minimally invasive,beauty,quick recovery and no obvious complications.

关 键 词：腔镜 LICHTENSTEIN术 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]