单孔腹腔镜经腹腹膜前股沟疝修补术联合胆囊切除术52例  

Single-port laparoscopic transabdominal preperitoneal inguinal hernioplasty combined with cholecystectomy,report of 52 cases

作　　者：朱校均 李盛铠 席雨辰 高族伦 薛慧敏 杨宇欣 陈鹏 焦景怡 周纯[3] 王鹏[1] Zhu Xiaojun;Li Shengkai;Xi Yuchen;Gao Zulun;Xue Huimin;Yang Yuxin;Chen Peng;Jiao Jingyi;Zhou Chun;Wang Peng(Department of Hepatobiliary Surgery,Affiliated Hospital of Nantong University,Nantong 226001,China;Nantong University School of Medicine,Nantong 226001,China;Department of General Practice,Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院肝胆外科,南通226001 [2]南通大学临床医学院,南通226001 [3]南通大学附属医院全科医学科,南通226001

出　　处：《中华普通外科杂志》2024年第5期357-361,共5页Chinese Journal of General Surgery

基　　金：南通市“十四五”医学重点学科专项资助项目(NTZDXK42)。

摘　　要：目的:评价经脐单孔经腹腹膜前腹股沟疝修补术联合单孔腹腔镜胆囊切除术[SILS-(TAPP+LC)]的安全性和可行性。方法:回顾性分析2019年3月至2021年10月南通大学附属医院52例行SILS-TAPP+LC的成年患者的临床资料。结果:所有手术均顺利完成,术中未中转开放或加孔。手术时间为(49.2±7.5)min。术中发生胆囊破裂3例,无膀胱及肠道损伤发生。术后随访20~24个月,患者出现血清肿4例,腹股沟区异物感4例,慢性疼痛3例,未出现胆瘘、复发、补片感染、套管针疝等并发症。结论:SILS-(TAPP+LC)是安全可行的,术后疼痛轻,恢复快。Objective To evaluate the safety and feasibility of transumbilical single-port transabdominal preperitoneal hernioplasty plus cholecystectomy(SILS-TAPP+LC).Methods The clinical data of 52 adult patients who underwent[SILS-(TAPP+LC)]from Mar,2019 to Oct,2021 at the Affiliated Hospital of Nantong University were retrospectively analyzed.The perioperative indicators,postoperative complications and follow-up data were analyzed.Results All operations were successfully completed without conversion to open or multi-port laparoscopic surgery.The duration of surgery was(49.2±7.5)min.Three patients experienced gallbladder rupture,and there was no bladder or intestinal injury during the surgery.During the 20-24 months of postoperative follow-up period,4 patient developed seroma in the postoperative period,4 patients complained foreign body sense in the inguinal region,3 patients reported chronic pain,but no other complications,such as biliary fistula,recurrence,mesh infection,or trocar hernia,were observed.Conclusion SILS-(TAPP+LC)was a safe and feasible approach associated with little postoperative pain and rapid recovery.

关 键 词：疝修补术 胆囊切除术 单孔腹腔镜 

分 类 号：R657.4[医药卫生—外科学]