摘要
目的总结腹腔镜完全腹膜外腹股沟疝修补术(TEP)经验和手术操作要点。方法选择我院行TEP手术54例患者,斜疝41例(其中5例为双侧斜疝),直疝13例(其中4例为双侧直疝)。结果 54例中有2例改行经腹腔腹膜外疝修补术。全组手术时间为40～130min,平均62min,术后住院3～7d,平均3.6d。术后给予镇痛剂0～4次,平均0.8次。术后腹股沟区慢性轻微疼痛2例。主要并发症有血清肿或血肿15例次。术后随访2～14个月无一例复发。结论 TEP手术安全可靠、复发率低,术后患者疼痛轻、康复快。
Objective To examine the use of totally extraperitoneal endoscopic hernioplastry（TEP） and its postoperative complications, in order to obtain better and more stable experience in treatments. Methods A total of 54 patients with inguinal hernia underwent laparoscopic extraperitoneal inguinal hernia repair in our hospital. The types of hernias were 41 indirect inguinal hernias （including 5 bilateral hernia） and 13 direct inguinal hernias（including 4 bilateral hernia）. Results Among 54 cases of TEP, 2 cases was converted to trans- abdominal preperitoneal prothesis（TAPP）. The operations lasted for 62（40 to 130） minutes. The patients stayed in hospital for 3.6（3 to 7） days. The patients were given analgesics for 0.8（0 to 4） times. There were 2 chronic slight pain in inguinal region（3.17%）. The most common complication was seroma, which appeared in 15 cases（23.8%）. No recurrent cases happened in the follow-up period of 2 to 14 months. Conclusion TEP technique is safe with low recurrence, less postoperative pain, better postoperative functional status, and shorter sick leave time.
出处
《中华普通外科学文献（电子版）》
2011年第4期39-40,共2页
Chinese Archives of General Surgery(Electronic Edition)
基金
中山市科技局基金资助项目(B200755)
关键词
腹腔镜
腹股沟疝
完全腹膜外修补术
Laparoscopic
Inguinal hernia
Total extraperitoneal prosthesis
