摘要
目的：探讨单孔腹腔镜下应用大圆针行疝囊高位结扎术治疗小儿腹股沟斜疝的安全性、可行性。方法：回顾分析2011年6月至2013年2月为257例腹股沟斜疝患儿采用改良单孔腹腔镜手术治疗的临床资料。经脐单孔腹腔镜下．于体表应用普通针持持大圆针（1／2弧，11×34）刺入腹腔行疝囊高位结扎。结果：本组手术均获成功，单侧疝手术时间8，15min．平均（10．25±2．12）min，双侧疝手术时间18—32min，平均（25．47±5．62）min；术后2—3d出院。术后随访3～20个月，平均（11．34±7．98）个月，248例（96．5％）患儿获得随访，无一例复发。结论：单孔腹腔镜下应用大圆针行疝囊高位结扎术安全、有效，操作简单，患儿创伤小、术后康复快。
Objective：To explore the safety and feasibility of single-port laparoscopic high ligation of hernia sac using a large circle needle in the treatment of pediatric indirect inguinal hernia. Methods ： High ligation of hernia sac using a large circle needle in single-port laparoscopy was performed for 257 cases of pediatric indirect inguinal hernia from Jun. 2011 to Feb. 2013. A large circle nee- dle （1/2 circle, 1 l x 34） was used to puncture the body surface into the abdominal cavity and repair the hernia sac. Results：All opera- tions were carried out successfully. The operating time for unilateral hernia repair ranged from 8 to 15 min ,with an average of （ 10.25 _＋ 2.12 ） rain, and the operating time for bilateral hernia repair ranged from 18 to 32 min ,with an average of （25.47 ＋-5.62 ） miu. All pa- tients discharged from hospital in 2-3 d after surgery. 248 patients were followed up for 3-20 months, with a mean of （ 11.34 _＋ 7.98 ） months. The follow-up rate was 96.5 %. During the follow-up period, all cases were cured without recurrence. Conclusions：The single- port laparoscopic high ligation of hernia sac using a large circle needle is safe, effective, simple and mini-invasive, and the patients re- cover quickly.
出处
《腹腔镜外科杂志》
2013年第10期748-750,共3页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
疝囊高位结扎术
大圆针
单孔
腹腔镜检查
儿童
Hernia, inguinal
High ligation of hernia sac
Great circle needle
Single-port
Laparoscopy
Child
