单孔腹腔镜全腹膜外腹股沟疝修补术的效果探讨  

The discussion of the effect of single-incision laparoscopic totally extraperitoneal repair of inguinal hernia

作　　者：郭自成[1] 孟相真[1] 杨福全[1] GUO Zi-cheng MENG Xiang-zhen YANG Fu-quan(Department of Colorectal and Hernia Minimally Invasive Surgery, Shengjing Hospital of China Medi- cal University, Shenyang 110004, China)

机构地区：[1]中国医科大学附属盛京医院,辽宁沈阳110004

出　　处：《腹腔镜外科杂志》2017年第7期552-555,共4页Journal of Laparoscopic Surgery

摘　　要：目的:探讨单孔腹腔镜全腹膜外腹股沟疝修补术(totally extraperitoneal,TEP)的安全性及可行性,并总结其手术要点。方法:回顾分析2015年9月至2016年12月我院为25例腹股沟疝患者行单孔腹腔镜TEP的临床资料。结果:25例手术均获成功,无一例中转开放手术。手术时间67~123 min,平均(90.04±15.30)min;术后住院2~4 d,平均(3.16±0.75)d。2例患者术后发生阴囊血清肿,术后均无慢性疼痛、切口感染及补片排斥反应等其他术后并发症发生,切口愈合佳。术后随访3~24个月,无复发病例。结论:单孔腹腔镜TEP治疗腹股沟疝是安全、可行的,术后瘢痕小,美容效果好,可在熟练掌握常规腹腔镜TEP的基础上应用于对美观要求较高的患者。Objective： To investigate the safety and feasibility of single-incision laparoscopic totally extraperitoneal repair of inguinal hernia,and then summarize the main points of the operation. Methods： A retrospective analysis was performed on the clinical data of 25 patients who underwent single-incision laparoscopic totally extraperitoneal inguinal hernia repair from Sep. 2015 to Dec. 2016.Results： All patients were successfully operated without conversion to open operation. The operation time was 67-123 min,with an average of（ 90. 04 ± 15. 30） min. The postoperative hospital stay was 2-4 d,with an average of（ 3. 16 ± 0. 75） d. 2 patients suffered from scrotal seroma after operation. There were no chronic pain,incision infection,mesh rejection or other postoperative complications. The incisions all healed well. The patients were followed up for 3-24 months and no recurrence occurred. Conclusions： The single-incision laparoscopic totally extraperitoneal repair of inguinal hernia is a safe and feasible method with mini scars and good cosmetic effect after operation. Based on abundant experience of routine laparoscopic totally extraperitoneal repair of inguinal hernia,single-incision procedure can be used in patients with high aesthetic requirements.

关 键 词：疝 腹股沟 疝修补术 全腹膜外 腹腔镜检查 单孔 

分 类 号：R656.21[医药卫生—外科学]