气腹针在单孔腹腔镜鞘状突高位结扎术中的应用  

Application of Veress Needle in Single-port Laparoscopic High Ligation of Processus Vaginalis

作　　者：康延杰 刘海潮 刘少朋 孙建涛 Kang Yanjie;Liu Haichao;Liu Shaopeng(Department of Urology,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000,China)

机构地区：[1]郑州大学附属洛阳中心医院泌尿外科,洛阳471000 [2]郑州大学附属洛阳中心医院肝胆疝外科,洛阳471000

出　　处：《中国微创外科杂志》2024年第2期150-153,共4页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的 探讨气腹针法单孔腹腔镜鞘状突高位结扎术的应用价值。方法 回顾性分析2021年1月~2023年3月气腹针法单孔腹腔镜鞘状突高位结扎术51例资料。用气腹针代替疝针行鞘状突高位结扎。结果 手术均获成功,未增加辅助孔或中转开放手术。46例单侧手术时间6~15 min,(8.9±1.9)min;5例双侧手术时间13~19 min,(15.4±2.3)min。术后随访6个月,均无复发,无线结反应、阴囊水肿、阴囊血肿、医源性隐睾及睾丸萎缩等并发症发生。结论 气腹针法单孔腹腔镜鞘状突高位结扎术具有单孔手术、单次穿刺、操作简便易行的优点,疗效确切,值得推广。Objective To explore the application value of single-port laparoscopic high ligation of processus vaginalis by using the Veress needle.Methods A retrospective analysis was conducted on data of 51 cases of single-port laparoscopic high ligation of processus vaginalis with the Veress needle from January 2021 to March 2023.A Veress needle was used instead of hernia needle to perform high ligation of processus vaginalis.Results All the operations were successful without additional auxiliary ports or conversion to open surgery.The time of unilateral operation in 46 cases was 6-15 min(mean,8.9±1.9 min).The bilateral operation time in 5 cases was 13-19 min(mean,15.4±2.3 min).After 6 months of follow-up after surgery,there was no recurrence in all children,and no complications such as suture knot reaction,scrotal edema,scrotal hematoma,iatrogenic cryptorchidism,and testicular atrophy occurred.Conclusions Single-port laparoscopic high ligation of processus vaginalis by using the Veress needle has the advantages of single-port surgery,single puncture,and simple performance.The therapeutic effect is definite and it is worthy to be popularized.

关 键 词：交通性鞘膜积液 腹股沟斜疝 单孔腹腔镜手术 气腹针 鞘状突 

分 类 号：R726.5[医药卫生—儿科]