摘要
目的探讨腹腔镜巨大切口疝修补术的治疗效果和技术要点。方法回顾性总结2004年3月至2009年6月间在我院进行的47例腹腔镜巨大切口疝修补术患者的资料,并对治疗效果和手术要点进行分析。结果术中2例(4.3%)患者因腹腔严重粘连中转开腹手术,其他患者均在腹腔镜下完成手术,肠管浆膜层损伤2例(4.3%),手术时间平均为87±25min(56～145min),无大出血病例。术后2例(4.3%)患者出现复发,1例进行了再次手术;34例患者(72.3%)有不同程度的术区腹壁疼痛,7例(14.9%)患者出现了不同程度的腹胀,但1～3个月后自行好转;2例(4.3%)患者术后出现了呼吸功能不全,经呼吸支持治疗后好转,2例(4.3%)患者出现了较明显的血清肿,经穿刺抽吸后好转。无术后出血、肠瘘或死亡病例。结论腹腔镜巨大切口疝修补术是安全、有效的术式。术中缝合、缩小疝环可以达到更加理想的治疗效果。
Objective To evaluate the efficiency of laparoscopic large incisional hernia repair,and investigate the technique of this procedure.Methods The clinical data of the 47 laparoscopic large incisional hernioplasty was retrospectively analysed.Results 2 （4.3%） conversions to open procedure and 2 （4.3%） intestinal injury were observed because of severe adhesions.Mean operation time was 87±25min （56 to145min）.2 （4.3%） recurrences were observed during 1 year follow-up.34 （72.3%） developed pain in operation area after operation;7 （14.9%） developed abdominal distention postoperatively.However,they were better at 3 months follow-up.2 （4.3%） developed respiratory insufficiency who recovered after supporting therapy by respirators.2 （4.3%） developed seroma postoperatively.No bleeding,intestinal fistula or death was observed during the follow-up.Conclusions Laparoscopic large incisional hernia repair was effective and safe.Suture of hernia ring may produce better clinical results.
出处
《中华疝和腹壁外科杂志（电子版）》
2011年第2期21-23,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
巨大切口疝
腹腔镜
疝修补术
Large incisional hernia
Laparoscopic
Hernioplasty
