摘要
目的探讨腹腔镜下造口旁疝修补术的临床效果。方法回顾性分析2007年9月至2010年4月期间8例行腹腔镜下造瘘口旁疝补片修补术患者的临床资料,分析手术情况、术后并发症及复发情况。结果 8例造口旁疝患者均在腹腔镜下修补成功。手术时间50～180min,平均135min。疝环大小4.5～6.5cm,平均5.0cm。术后1例出现肠梗阻及复发,后行腹腔镜探查及再次修补术。2例术后早期出现腹胀,1周后腹胀缓解。1例术后出现术区疼痛不适,对症治疗后缓解。本组未发生术区感染。住院时间5～14d,平均7.6d。术后随访1年,除1例复发后行再次手术外,均未见复发。结论腹腔镜下造口旁疝修补术如果注意操作要点,可以替代传统修补术。
Objective To investigate the patients of laparoscopic mesh repair of parastomal hernia.Methods To investigate 8 patients of laparoscopic mesh repair of parastomal hernia from September 2007 to April 2010.To evaluate procedure,the postoperative complications and recurrence.Results Laparoscopic mesh repair of parastomal hernia was successfully performed in 8 patients.The mean operating time was 135 min.The mean hernia defect was 5.0 cm in diameter（4.5-6.5） cm.One recurrence and intestinal obstruction occurred in these 8 cases,and was cured by laparoscopic repair.Two patients had temporary abdominal distention,and had well recovered after a week.One patient complained of painfulness around the operative field,and had well recovered after symptomatic treatment.No wound infection in all these 8 cases.The average postoperative hospital stay was 7.6 d.Postoperative follow-up for 12 months revealed no recurrence except one early recurrence.Conclusions Laparoscopic mesh repair of parastomal hernia can replace the traditional repair method if pay attention to operation point.
出处
《中华腔镜外科杂志（电子版）》
2011年第4期31-33,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
腹腔镜
造口旁疝
补片修补术
Laparoscopy Parastomal hernia Mesh repair
