期刊文献+

腹腔镜上腹部切口疝修补术45例临床应用 被引量:1

Laparoscopic upper abdominal incisional hernia repair application of 45 cases
原文传递
导出
摘要 目的探讨腹腔镜上腹部切口疝修补术的方法改进与效果。方法回顾性分析我院自2008年8月至2013年7月完成的腹腔镜上腹部切口疝修补术45例的病例资料。结果本组45例患者,中转开腹手术2例。关闭缺损法腹腔镜切口疝修补术35例。手术时间45—190min,平均(105±34.6)min;术后24—48h下床活动;1~3d后肠排气。术后住院时间2~17d,平均(6.5±2.8)d。39例患者随访1~56个月,有1例复发,复发率为2.6%,未发现慢性疼痛性并发症。结论腹腔镜上腹部切口疝修补术微创、并发症的发生率低、具有良好的应用前景。 Objective To evaluate the feasibility and efficacy of ]aparoseopic upper abdominal incisional hernia repair. Methods The outcomes for 45 upper abdominal incisional hernia patients who underwent laparoseopic incisional hernia repair in our hospital from August 2008 to July 2013 were analyzed retrospectively. Results Fourty-five patients were operated successfully, converted to open surgery in2 patients. The closure of hernia sac laparoscopic incisional hernia repair was performed in 35 patients, Operative time was 45 - 190min, the average 105min. 24 - 48h after getting out of bed; 1 ~ 3d hindgut vent. Postoperative hospital stay was 2 - 17 d, an average of 6.5 d. All 39 patients were followed up for 1 to 56 months, recurrence occurred in 1 patient, recurrence rate 2.6% there is no chronic pain complications. Conclusion Laparoscopic upper abdominal incisional hernia repair help reduce complications, recurrence rate and economic burden of patients with clinical applications.
出处 《中华腔镜外科杂志(电子版)》 2013年第4期15-17,共3页 Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词 腹腔镜 切口疝 补片 Laparoscopy Incisional hernia Mesh
  • 相关文献

参考文献11

  • 1R. Le Huu Nho, D. Mege, M Oua?ssi, I Sielezneff, et al. Incidence and prevention of ventral incisional hernia. Visceral Surgery, 2012, 149(5) :3-14.
  • 2中华医学会外科学分会疝和腹壁外科学组.腹壁切口疝诊疗指南(2012年版).中华疝和腹壁外科杂志:电子版,2013,7(2):104-106.
  • 3Alfredo Moreno-Egea, Andres Carrillo-Alcaraz. Management of non-midline incisional hernia by the laparoscopic approach: results of a long-term follow-up prospective study. Surg Endosc, 2012,26 (4): 1069-1078.
  • 4A. Moreno-Egea, A. Carrillo, J. L. Aguayo. Midline versus nonmidline laparoscopic incisional hernioplasty: acomparative study. SurgEndosc, 2008,22(3): 744-749.
  • 5Losanoff JE, Basson MD. Subxiphoid incisional hernias aiter median stemotomy. Hernia, 2007, 11 (6): 473-479.
  • 6Heniford BT, Park A, Ramshaw B J, et al. Laparoscopic repair of ventral hernias., nine years' experience with 850consecutive hernias. Arm Surg, 2003,238(3): 391-400.
  • 7克力木,张成.腹腔镜腹壁切口疝修补术中值得重视的问题[J].临床外科杂志,2010,18(3):154-155. 被引量:9
  • 8李健文,郑民华.腹腔镜治疗腹壁边缘部位疝中补片固定的方法[J].外科理论与实践,2010,15(6):573-576. 被引量:16
  • 9Susmallian S, Gewurtz G, Ezri I, et al. Seroma after laparoscopic repair of hernia with PTFE patch: is it really a complication? Hernia, 2001,5 (3) : 139-141.
  • 10Marissa L. Clapp, Stephanie C. Hicks, Samir S. Awad, et al. Trans-cutaneous Closure of Central Defects (TCCD) in Laparoscopic Ventral Hemia Repairs (LVHR). World J Surg, 2013,37(1):42-51.

二级参考文献36

  • 1唐健雄,陈革,黄磊.开放式完全腹腔内修补治疗腹壁切口疝的方法及经验介绍[J].外科理论与实践,2004,9(4):345-346. 被引量:11
  • 2姚琪远,陈浩,丁锐,花荣,倪泉兴,张延龄.腹腔镜下切口疝补片修补术的临床应用[J].中国实用外科杂志,2006,26(11):834-836. 被引量:29
  • 3Chowbey PK,Sharma A,Khullar R,et al.Laparoscopic ventral hernia repair with extraperitoneal mesh:surgical technique and early results[J].Surg Laparosc Endosc Percutan Tech,2003,13(2):101-105.
  • 4Cobb WS,Kercher KW,Heniford BT.Laparoscopic repair of incisional hernias[J].Surg Clin North Am,2005,85(1):91-103.
  • 5Rudmik LR,Schieman C,Dixon E,et al.Laparoscopic incisional hernia repair:a review of the literature[J].Hernia,2006,10(2):110-119.
  • 6Mudge M,Hughes LE.Incisional hernia:a 10-year prospective study of incidence and attitudes[J].Br J Surg,1985,72(1):70-71.
  • 7Turner PL,Park AE.Laparoscopic repair of ventral incisional hernias:pros and cons[J].Surg Clin North Am,2008,88(1):85-100.
  • 8LeBlanc KA,Booth WV.Laparoscopic repair of incisinal abdominal hernias using expanded polytetrafluoroethylene:preliminary findings[J].Surg Laparosc Endosc,1993,3(1):39-41.
  • 9LeBlanc KA.The critical technical aspects of laparoscopic repair of ventral and incisional hernias[J].Am surg,2001,67(8):809-812.
  • 10Moreno-Egea A,Carrillo A,Aguayo JL.Midline venus nonmidline laparoscopic incisional hernioplasty:a comparative study[J].Surg Endosc,2008,22(3):744-749.

共引文献22

同被引文献6

引证文献1

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部