[1]潘炳权 郁林海** 朱海峰 李火明 汪韬 顾春飞 徐国权.经脐入路常规器械腹腔镜经腹腹膜前腹股沟疝修补术[J].中国微创外科杂志,2020,01(2):178-180.
　Pan Bingquan,Yu Linhai,Zhu Haifeng,et al.Transumbilical Approach Conventional Apparatus Laparoscopic Extraperitoneal Inguinal Hernia Repair[J].Chinese Journal of Minimally Invasive Surgery,2020,01(2):178-180.
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经脐入路常规器械腹腔镜经腹腹膜前腹股沟疝修补术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年2期
页码:
178-180
栏目:
经验交流
出版日期:
2020-02-28

文章信息/Info

Title:
Transumbilical Approach Conventional Apparatus Laparoscopic Extraperitoneal Inguinal Hernia Repair
作者:
潘炳权 郁林海** 朱海峰 李火明 汪韬 顾春飞 徐国权
（上海市松江区方塔中医医院外一科，上海201699）
Author(s):
Pan Bingquan;  Yu Linhai;  Zhu Haifeng;  et al.
Department of Surgery I, Shanghai Songjiang Fangta Hospital of Traditional Chinese Medicine, Shanghai 201699, China
关键词:
腹股沟疝; 经脐内镜手术; 经腹腹膜前修补
Keywords:
Inguinal hernia; Transumbilical endoscopic surgery; Transabdominal preperitoneal repair
文献标志码:
B
摘要:
目的探讨使用常规器械行经脐腹腔镜（transumbilical endoscopic surgery，TUES）经腹腹膜前腹股沟疝修补（transabdominal preperitoneal repair，TAPP）的安全性和应用价值。方法回顾分析2018年7月~2019年3月使用常规器械行TUESTAPP 20例资料。结果 20例手术均获成功，无需辅助孔。手术时间45~80（60.7±10.9）min，术中出血<10 ml。术后6 h恢复半流质饮食及下床活动。术后血清肿2例。术后第1天疼痛视觉模拟评分（Visual Analogue Scale，VAS）0~2（0.7±0.8）分，术后住院2~6（3.7±1.0）d。术后随访1~6个月，平均5.2月，无腹股沟疝复发，切口瘢痕隐蔽。结论使用常规器械可以安全完成TUESTAPP，而且瘢痕隐蔽。
Abstract:
ObjectiveTo explore the safety and value of transumbilical endoscopic surgery for transabdominal preperitoneal repair (TUESTAPP) with conventional instruments. MethodsData of 20 cases of TUESTAPP from July 2018 to March 2019 were analyzed retrospectively.ResultsAll the 20 cases were successfully operated without additional trocar. The operation time was 45-80 (mean, 60.7±10.9) min, the intraoperative bleeding was less than 10 ml. Half fluid diet and out of bed activities were restored at 6 hours after operation. There were 2 cases of serum swelling after operation. On the first day after operation, the Visual Analogue Scale (VAS) was 0-2 (mean, 0.7±0.8) points, and the postoperative hospitalization was 2-6 (mean, 3.7±1.0) days. The patients were followed up for 1-6 months (mean, 5.2 months). No recurrence of inguinal hernia was noted, and the scar of incision was concealed.ConclusionTUESTAPP can be completed safely by using conventional instruments with concealed scars.

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备注/Memo

备注/Memo:
基金项目：松江区科学技术攻关项目（19SJKJGG143）**通讯作者，Email：tuesyu@139.com
更新日期/Last Update: 2020-05-16