腹腔镜全腹膜分离技术治疗腹壁疝的特点及安全性探讨  

Characteristics and Safety of Laparoscopic Total Peritoneal Separation Technique in the Treatment of Abdominal Wall Hernia

作　　者：徐小慧[1] 雷庆军[1] 钱欢 XU Xiaohui;LEI Qingjun;QIAN Huan(Department of General Surgery,Taicang First People′s Hospital,Suzhou 215400,Jiangsu,China)

机构地区：[1]太仓市第一人民医院普外科,江苏苏州215400

出　　处：《系统医学》2025年第6期103-106,共4页Systems Medicine

摘　　要：目的探讨腹腔镜全腹膜分离技术治疗腹壁疝的特点及安全性。方法非随机选取2020年4月—2023年3月太仓市第一人民医院普外科收治的86例腹壁疝患者为研究对象,按不同术式分为两组,每组43例。研究组基于全腹膜分离技术予以腹腔镜下完全腹膜外疝修补术;对照组予以腹腔镜下腹腔内补片修补术。比较两组手术成功率、基本手术指标、并发症发生率与复发率。结果两组手术成功率比较,差异无统计学意义(P>0.05)。研究组手术时间(126.47±13.28)min长于对照组的(78.55±9.16)min,术后下地活动时间(26.72±4.10)h短于对照组的(31.49±6.63)h,差异有统计学意义(t=19.405、3.978,P均<0.05)。两组术中出血量、术后住院时间比较,差异无统计学意义(P均>0.05)。两组并发症发生率及术后复发率比较,差异无统计学意义(P均>0.05)。结论采用基于全腹膜分离技术的腹腔镜下完全腹膜外疝修补术治疗腹壁疝,可以获得与腹腔镜下腹腔内补片修补术相当的疗效,且前者术后康复快。Objective To investigate the characteristics and safety of laparoscopic total peritoneal detachment tech-nique for the treatment of abdominal wall hernia.Methods Eighty-six patients with abdominal wall hernia admitted to the Department of General Surgery of Taicang First People's Hospital from April 2020 to March 2023 were non-randomly selected as study subjects,and were divided into two groups according to different surgical styles,with forty-three cases in each group.In the study group,laparoscopic complete extraperitoneal hernia repair was performed based on total peritoneal separation technique;in the control group,laparoscopic intraperitoneal patch repair was per-formed.The two groups were compared in terms of surgical success rate,basic surgical indexes,complication rate and recurrence rate.Results There were no statistically significant differences in surgical success rate between the two groups(P>0.05).The operation time of the study group(126.47±13.28)min was longer than(78.55±9.16)min of the control group,and the postoperative time to go down to the ground(26.72±4.10)h was shorter than(31.49±6.63)h of the control group,and the differences were statistically significant(t=19.405,3.978,both P<0.05).There were no sig-nificant differences in intraoperative blood loss and postoperative hospital stay between the two groups(both P>0.05).There were no significant differences in the incidence of complications and postoperative recurrence rate between the two groups(both P>0.05).Conclusion The use of laparoscopic complete extraperitoneal hernia repair based on the to-tal peritoneal separation technique for the treatment of abdominal wall hernia can achieve comparable efficacy to lapa-roscopic intraperitoneal patch repair,and the former has a faster postoperative recovery.

关 键 词：腹壁疝 腹腔镜 全腹膜分离技术 疝修补术 特点 安全性 

分 类 号：R4[医药卫生—临床医学]