[1]蔡秀军,王一帆,梁霄.改良式腹腔镜腹膜外补片植入法疝修补术[J].中国微创外科杂志,2005,05(9):724-725.
　CaiXiujun,Wang Yifan,Liang Xiao..Modified laparoscopic transabdomimal preperitoneal mesh and suture herniorrhaphy[J].Chinese Journal of Minimally Invasive Surgery,2005,05(9):724-725.
点击复制

改良式腹腔镜腹膜外补片植入法疝修补术()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年9期
页码:
724-725
栏目:
出版日期:
2005-09-30

文章信息/Info

Title:
Modified laparoscopic transabdomimal preperitoneal mesh and suture herniorrhaphy
作者:
蔡秀军; 王一帆; 梁霄　
浙江大学邵逸夫医院外科,杭州,310016
Author(s):
CaiXiujun;  Wang Yifan;  Liang Xiao.
Department of Surgery, SirRun Run Shaw Hospital of Zhejiang University, Hangzhou310016, China
关键词:
腹腔镜; 疝修补术; 腹股沟疝
Keywords:
Laparoscopy; 　Herniorrhaphy; 　Inguinal hernia
分类号:
R656.2+1
文献标志码:
A
摘要:
目的探讨改进式腹腔镜腹膜外补片植入法腹股沟疝修补术的可行性及临床意义.方法回顾性分析我院2002年6月～2004年10月13例腹股沟疝进行的腹腔镜下经腹腔腹膜外补片植入法联合腹膜缝合覆盖修补术的临床资料.其中腹股沟斜疝9例,直疝4例;其中复发疝1例;右侧8例,左侧4例,双侧1例.结果手术均获成功,单侧手术时间35～85 min,平均50 min,无一例中转开腹,无术后并发症,术后平均住院时间2 d,13例随访1～28个月,平均12个月,无一例复发.结论腹腔镜下经腹腔途径腹膜外补片植入法联合腹膜缝合覆盖术是一种安全、可靠、疗效显著的腹股沟疝修补方法,具有手术操作简单、创伤小、术后疼痛轻、恢复快等优点,可以代替开放手术,值得推广应用.
Abstract:
Objective　To investigate the feasibility and the clinical significance ofmodified laparoscopic transabdomimal preperitoneal (TAPP) mesh and suture inguinalherniorrhaphy.　M ethods　Clinical records of13 patientswith inguinalhernia treated by laparoscopic TAPPmesh plug combined with suture fixation from June 2002 to October 2004 in this hospitalwere retrospectively reviewed. Out of the 13 patients, there were 9 patients with indirect inguinal hernia and 4 patients with direct hernia, including 1 recurrentpatient. The herniawas right-sided in 8 patients, left-sided in 4, and bilateral in 1.　Results　All the operationswere completed successfully. The unilateral operation timewas35~85 min (mean, 50 min). No conversions to open surgerywere required and no postoperative complicationswere noted. Themean duration of postoperative hospital staywas 2 days. Follow-up observations for1~28 months (mean, 12 months) in the 13 patients found no recurrence.　Conclusions　Laparoscopic TAPP mesh plug combined with suture fixation, characterized by advantages of simplicity of performance, minimal invasion, little postoperative pain, and quick recovery, is a safe, reliable and effective alternative of inguinalherniorrhaphy. This technique can replace the open surgery and is recommended forwide application.

参考文献/References:

[1]Neumayer L, Jonasson O, Fitzgibbons R, et al. Tension - free inguinal hernia repair: the design of a trial to compare open and laparoscopic surgical techniques. J Am Coll Surg,2003, 196(5 ): 743 -752.
[2]Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty. Surg Endosc, 1995, 9(2): 140 - 144.
[3]计勇,甄作均,苏树英,等.成人腹腔镜疝修补术复发原因分析.中华普通外科杂志,2004,19(1):53.
[4]Barkun JS, Keyser E J, Wexler M J, et al. Short - term outcomes in open vs laparoscopic herniorrhaphy: confounding impact of worker' s compensation on convalescence. J Gas Surg, 1999, 3:575 -582.

更新日期/Last Update: 2014-04-10