疝针辅助缝合在单切口腹腔镜经腹腹膜前腹股沟疝修补术中的应用  

Application of Hernia Needle Assisted Suture in Single-incision Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

作　　者：彭泉 陈亮 陈旭 郑玉 于华杰 张明金 Peng Quan;Chen Liang;Chen Xu(Department of General Surgery,No.901 Hospital of Joint Logistics Support Force of PLA,Hefei 230031,China)

机构地区：[1]解放军联勤保障部队第九〇一医院普外科,合肥230031

出　　处：《中国微创外科杂志》2025年第4期253-256,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：解放军联勤保障部队第九〇一医院院管课题(2024YGZD11,2024YGYB13)。

摘　　要：目的探讨疝针辅助缝合在单切口腹腔镜经腹腹膜前疝修补(single-incision laparoscopic transabdominal preperitoneal repair,SIL-TAPP)术中的应用价值。方法2023年2月~2024年4月,对20例年轻腹股沟斜疝患者行SIL-TAPP。脐孔弧形切口2 cm置入三通道port行TAPP,患侧下腹壁刺入疝针辅助单手缝合关闭腹膜。结果20例均成功完成手术。手术时间85~125 min,(91.3±10.0)min;关闭腹膜用时18~30 min,(23.4±3.2)min。术中出血量5~25 ml。术后24小时疼痛视觉模拟评分(Visual Analogue Scale,VAS)1~3分。术后住院1~5 d,(2.4±1.0)d。术后腹股沟区血清肿1例,脐部切口脂肪液化1例。术后随访8~22个月,(15.3±3.4)月,无术后复发,无脐疝。结论SIL-TAPP术中采用疝针辅助缝合关闭腹膜,可以降低单手缝合的难度,尤其适合开展单孔手术初期。Objective To investigate the feasibility of hernia needle assisted suture in single-incision laparoscopic transabdominal preperitoneal repair(SIL-TAPP).Methods From February 2023 to April 2024,20 young patients with indirect inguinal hernia were treated with SIL-TAPP.A 2 cm curved incision was made at the navel,and a three channel port was inserted for transabdominal preperitoneal repair.A hernia needle was inserted into the affected side lower abdominal wall to assist in one handed suturing and closure of the peritoneum.Results All the operations were successful.The operation time was 85-125 min,with an average of(91.3±10.0)min.The closure of the peritoneum took 18-30 min,with an average of(23.4±3.2)min.Intraoperative blood loss was 5-25 ml.The Visual Analogue Scale(VAS)score at 24 h after surgery was 1-3 points.Postoperative hospitalization lasted 1-5 d,with an average of(2.4±1.0)d.After surgery,one patient had seroma in the groin area and one patient had fat liquefaction in the umbilical cord.All the patients were followed up for 8-22 months after operation,with an average of(15.3±3.4)months.No recurrence after operation or umbilical hernia was noted.Conclusion The use of hernia needle assisted suturing to close the peritoneum during SIL-TAPP surgery can reduce the difficulty of one handed suturing,especially suitable for the early stage of single-incision laparoscopic surgery.

关 键 词：疝针 单切口腹腔镜手术 经腹腹膜前疝修补术 

分 类 号：R6[医药卫生—外科学]