内镜下Sublay修补术在腹壁疝中的应用及研究进展  

Application and research progress of endoscopic sublay repair in abdominal wall hernia

作　　者：张天明 程振东 靳猛[2] Zhang Tianming;Cheng Zhendong;Jin Meng(School of Clinical Medicine,Jining Medical University,Shandong Jining 272000,China;Department of Hernia and Abdominal Wall Surgery,Affiliated Hospital of Jining Medical University,Shandong Jining 2720000,China)

机构地区：[1]济宁医学院临床医学院,山东济宁272000 [2]济宁医学院附属医院疝与腹壁外科,山东济宁272000

出　　处：《腹部外科》2025年第2期152-155,共4页Journal of Abdominal Surgery

摘　　要：腹壁疝是一种常见的外科疾病,分为原发性和继发性腹壁疝两种,前者包括脐疝、白线疝、半月线疝和腰疝,后者指切口疝。通常认为腹壁疝即使没有任何临床表现,也应该立即进行手术治疗。手术是治疗腹壁疝的唯一有效方法,常用的手术方式包括开放Sublay、腹腔镜腹腔内补片修补术、小切口开放Sublay手术/内镜小切口开放Sublay手术、腹腔镜经腹膜前修补术、腹腔镜完全腹膜外修补术、增强视野全腹膜外修补术、经腹腔部分腹膜外修补术。近几年内镜下Sublay修补术(endoscopic sublay repair,ESR)开始被广泛使用,ESR从操作途径上分为经腹Sublay修补术和全腹膜外Sublay修补术两种,它们分别由腹腔镜经腹膜前修补术和腹腔镜完全腹膜外修补术演化而来,它的实用性和有效性需要大量的临床数据来验证,该文回顾了ESR治疗腹壁疝的有关文献,并讨论了ESR在治疗腹壁疝中的应用和研究进展,同时分析了ESR的可行性和它的优越性。Abdominal hernia is a common surgical condition that is divided into primary and secondary abdominal wall hernias.The former includes umbilical hernia,white line hernia,semimeniscus hernia,and lumbar hernia,and the latter refers to incisional hernia.It is generally believed that immediate surgery should be performed even in the absence of any clinical manifestations,and surgery is the only effective treatment for abdominal wall hernias.Commonly used surgical modalities include open sublay,laparoscopic intraperitoneal onlay mesh(IPOM),mini/less open sublay MILOS/endoscopic mini/less open sublay technique(eMILOS),transabdominal preperitoneal(TAPP),

关 键 词：腹壁疝 内镜下Sublay修补术 腹腔镜 

分 类 号：R656.2[医药卫生—外科学]