摘要
目的分析总结腹腔镜腹股沟疝修补术的临床经验。方法回顾分析武汉大学中南医院2012年1月至2017年4月1 034例腹股沟疝病人行腔镜腹股沟疝修补术的临床资料。结果所有腹股沟疝病人均顺利行腹腔镜经腹腹膜前修补术(transabdominal preperitoneal,TAPP)或全腹膜外修补术(totally extraperitoneal,TEP)。手术时间为25~180 min(平均40 min),术中出血5~30ml(平均12 ml),住院时间为3~9 d(平均4 d)。随访1~48个月,有5例病人出现腹膜前间隙血肿,腹股沟区血清肿37例,阴囊水肿7例,术后局部疼痛不适16例,术后复发1例,术后感染1例。结论腹腔镜腹股沟疝修补术恢复快,复发率低,并发症少;手术应由经验丰富的疝专科医生完成。
Objective To summarize the successful experience and clinical effectiveness of laparoscopic inguinal hernia repair. Methods The clinical data of 1 034 cases （1 209 sides） of inguinal hernia treated by laparoscopic inguinal hernia repair, from January 2012 to April 2017 in our hospital, were retrospectively analyzed. Results All patients were successfully operated by TAPP or TEP. The operating time was 25 to 180 min with a mean of 40 min,intraoperative blood loss was 5 to 30 mL with a mean of 12 mL, and postoperative hospital stay was 3 to 9 days with a mean of 4 days. During a followup period of 1-48 months, there were 5 cases of groin hematoma, 37 cases of inguinal seroma, 7 cases of scrotal edema, 16 cases of postoperative local pain and discomfort, 1 case of recurrence and one case of infection. Conclusions The results indicate that laparoscopic inguinal hernia repair is a satisfactory technique with a low recurrence rate, quicker recovery and lower complication rate. The operation should be performed by experienced surgeon.
出处
《腹部外科》
2017年第3期173-175,181,共4页
Journal of Abdominal Surgery
关键词
腹腔镜
腹股沟疝
疝修补术
Laparoscope
Inguinal hernia
Herniorrhaphy
