[1]侯崇智*卞军 施伟栋 王洁.腹腔镜下单通道自制疝气针完全腹膜外疝囊高位结扎术治疗小儿腹股沟斜疝163例[J].中国微创外科杂志,2014,14(6):519-528.
　Hou Chongzhi,Bian Jun,Shi Weidong,et al.Singleport Laparoscopic Total Extraperitoneal High Ligation of Hernia Sac in Children: an Analysis of 163 Cases[J].Chinese Journal of Minimally Invasive Surgery,2014,14(6):519-528.
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腹腔镜下单通道自制疝气针完全腹膜外疝囊高位结扎术治疗小儿腹股沟斜疝163例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年6期
页码:
519-528
栏目:
出版日期:
2014-06-20

文章信息/Info

Title:
Singleport Laparoscopic Total Extraperitoneal High Ligation of Hernia Sac in Children: an Analysis of 163 Cases
作者:
侯崇智*卞军 施伟栋 王洁
西安市儿童医院普外科，西安710000
Author(s):
Hou Chongzhi;  Bian Jun;  Shi Weidong; et al.Corresponding author:Hou Chongzhi; Email:hczfx@126.com
Department of General Surgery, Xi’an Children’s Hospital, Xi’an 710000, China
关键词:
腹腔镜; 腹股沟疝; 小儿
Keywords:
Laparoscope; Indirect inguinal hernia; Children
分类号:
R726.1
文献标志码:
A
摘要:
目的探讨腹腔镜下单通道完全腹膜外疝囊高位结扎术治疗小儿腹股沟斜疝的疗效。方法2012年3～9月我院施行腹腔镜下单通道完全腹膜外疝囊高位结扎术163例。于脐环下方置入5 mm腹腔镜，采用自制疝气针，于腹横纹插入并带入爱惜康0号丝线，于腹膜外环形高位结扎内环口。结果术中过程顺利，59例术中发现对侧隐性鞘状突未闭。手术时间单侧5～10 min；双侧10～15 min;术中出血量0.2~2 ml。术后恢复平稳，均于术后第2天出院。无精索、输精管损伤及术后阴囊血肿等。163例术后随访3～9个月，平均6个月，无复发。结论单孔腹腔镜下单通道完全腹膜外疝囊高位结扎术治疗小儿腹股沟斜疝创伤小、恢复快、无瘢痕，可发现并治疗对侧潜在斜疝。
Abstract:
ObjectiveTo evaluate the efficacy of singleport laparoscopic total extraperitoneal high ligation of the sac in the treatment of indirect inguinal hernia in children.MethodsBetween March 2012 and September 2012, a total of 163 patients with indirect inguinal hernia in our hospital were enrolled in this study. A 5mm laparoscope was introduced into the peritoneum though the bottom of umbilical ring. A selfmade hernia needle, combinating with the 0# silk suture, was managed to locate the internal inguinal ring by way of abdominal transverse strips. At the high site of internal inguinal ring the sac was tied off. ResultsAll the operations were smoothly performed. Fiftynine patients were found having contralateral concealed hernia during the operation. The mean operation time was 8 min (range, 5-10 min) for unilateral operations, and 13 min (range, 10-15 min) for bilateral operations. The blood loss ranged from 0.2 to 2 ml. No postoperative complications, such as spermatic cord injury, spermaduct injury, or postoperative scrotum haematoma, were encountered. All the cases were discharged on the second day following the surgery. No recurrence was found in 163 cases during the followup (range, 3-9 months; mean, 6 months). ConclusionSingleport laparoscopic total extraperitoneal high ligation of the sac in the treatment of indirect inguinal hernia in children is minimally invasive, safe, and scareless, with the advantage of timely management of contralateral concealed hernia at operation.

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备注/Memo

备注/Memo:
*通讯作者，Email:hczfx@126.com
更新日期/Last Update: 2014-12-08