[1]张颖,白东升,李旭,等.腹腔镜下腹腔内疝囊高位结扎术的临床应用（附260例报告）[J].中国微创外科杂志,2009,09(6):543-544.
　Zhang Ying,Bai Dongsheng,Li Xu,et al.Laparoscopic High Ligation of Inguinal Hernia: Report of 260 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(6):543-544.
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腹腔镜下腹腔内疝囊高位结扎术的临床应用（附260例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年6期
页码:
543-544
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Laparoscopic High Ligation of Inguinal Hernia: Report of 260 Cases
作者:
张颖; 白东升; 李旭; 王莹; 李龙
首都儿科研究所附属儿童医院外科，北京100020
Author(s):
Zhang Ying;  Bai Dongsheng;  Li Xu;  et al.
Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing 100020, China
关键词:
腹股沟斜疝; 腹腔镜; 疝囊高位结扎术
Keywords:
Indirect inguinal hernia; Laparoscopy; High ligation
分类号:
R726.1
文献标志码:
A
摘要:
目的探讨腹腔镜疝囊高位结扎术在儿童腹股沟斜疝中的应用。方法2006年2月~2008年2月，对260例腹股沟斜疝患儿施行腹腔镜疝囊高位结扎术。二孔法经腹腔内内环口缝扎，28例同时将脐正中襞（或脐内侧襞）与内环口周围的腹横筋膜缝扎，10例同时将腹横筋膜及腹内斜肌的弓状下缘与腹股沟韧带缝扎。结果260例手术均成功完成，无中转开放手术。单侧手术时间15~45 min，平均22 min。259例随访2～23个月，平均11.6月，无脐戳孔疝，无医源性隐睾及睾丸萎缩，无肠粘连梗阻等并发症；术后5个月复发1例(0.4%)。结论腹腔镜疝囊高位结扎术治疗儿童腹股沟斜疝创伤小，安全，有效，手术并发症少，有很好的应用前景。
Abstract:
ObjectiveTo study the efficacy and safety of laparoscopic high ligation of indirect inguinal hernia in children. MethodsFrom February 2006 to February 2008, totally 260 children with indirect inguinal hernia underwent laparoscopic high ligation in our hospital. Two trocars were used to ligate the inner circle.ResultsThe procedure was completed successfully in all of the cases. The mean operation time was 22 minutes (range, 15-45 minutes). A 2 to 23month followup (mean 11.6 months) was achieved in 259 of the patients. During the period, no patient showed incisional hernia, iatrogenic cryptorchidism or atrophy of the testicles, or intestinal adhesion. One patient showed recurrent hernia in 5 months after the surgery (0.4%). ConclusionLaparoscopic high ligation of indirect inguinal hernia is a minimally invasive, effective, and safe procedure for children.

参考文献/References:

[1]张金哲，杨啟政，刘贵麟.中华小儿外科学.郑州：郑州大学出版社，2006. 459-466.
[2]李宇洲.我国腹腔镜治疗小儿斜疝的现状和发展前景.中国微创外科杂志，2004，4：368-369.
[3]李宇洲，姚干，梁健升.微型腹腔镜治疗小儿斜疝4500例体会.中国微创外科杂志，2007，7：1149-1151.
[4]Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions.J Pediatr Surg,2006,12:1999-2003.
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更新日期/Last Update: 2014-01-08