腹腔镜腹股沟疝修补术后复发与并发症分析  

Analysis of Recurrence and Complications in Laparoscopic Herniorrhaphy

作　　者：李健文[1] 郑民华[1] 臧潞[1] 黄循波[1] 王明亮[1] 胡伟国[1] 蒋渝[1] 

机构地区：[1]上海第二医科大学附属瑞金医院普外科上海微创外科临床医学中心,200025

出　　处：《外科理论与实践》2002年第6期431-433,共3页Journal of Surgery Concepts & Practice

摘　　要：探讨腹腔镜腹股沟疝修补术术后复发与并发症的原因。方法:回顾性分析1993年10月至2001年10月行腹腔镜腹股沟疝修补术的52例(67例次)病人的临床资料,其中经腹腹膜前补片植入术37例(48例次),经腹膜外补片植入术15例(19例次)。随访时间8～24个月(中位时间18个月)结果:本组腹腔镜腹股沟疝修补术术后复发率为4.5%(3/67);前3位并发症依次为阴囊气肿、暂时性神经感觉异常和阴囊血清肿,发生率分别为43.3%、17.9%和9.0%;手术时间为68.6min±40.5min,术后住院天数为7.1d±2.0d。结论:腹腔镜腹股沟疝修补术是安全的无张力手术,降低复发和并发症的关键在于熟悉腹膜前间隙的解剖。Objective:To evaluate the recurrence and complications of laparoscopic hernia repair.Methods:The clinical da ta of52patients(67procedures)admitted between Oct1993and Oct2001undergoing laparoscopic hernia repair were an alyzed retrospectively.There were48TAPP performed in37patients and19TEP performed in15patients.The cases were followed up for8～24months,with a median of18months.Results:The recurrence rate was4.5%.Emphysema,transient neurapraxia and seroma ranked the first3postoperative complications in laparoscopic hernia repair,their inci dence being43.3%,17.9%and9.0%respectively.The operative time was68.6min±40.5min,the hospital stay was7.1d±2.0d.Conclusions:The laparoscopic hernia repair is a safe and tension free technique.A thorough understanding of the anatomy of the pre peritoneal space is essential in an attempt to reduce recurrence and post operative complications.

关 键 词：腹腔镜 腹股沟疝 修补术 复发 并发症 

分 类 号：R656.21[医药卫生—外科学]