[1]何龙贵 何亦工* 吴海彪 何少华① 肖智祥①.经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝[J].中国微创外科杂志,2023,01(8):592-596.
　He Longgui,He Yigong,Wu Haibiao,et al.Transumbilical Single Site Laparoscopy Combined With Extraperitoneal Water Injection for Large Oblique Inguinal Hernia in Children[J].Chinese Journal of Minimally Invasive Surgery,2023,01(8):592-596.
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经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年8期
页码:
592-596
栏目:
临床研究
出版日期:
2023-08-25

文章信息/Info

Title:
Transumbilical Single Site Laparoscopy Combined With Extraperitoneal Water Injection for Large Oblique Inguinal Hernia in Children
作者:
何龙贵 何亦工* 吴海彪 何少华① 肖智祥①
(武夷山市立医院普外科，武夷山354300)
Author(s):
He Longgui;  He Yigong;  Wu Haibiao;  et al.
Department of General Surgery, Wuyishan Municipal Hospital, Wuyishan 354300, China
关键词:
单部位腹腔镜手术; 儿童; 巨大; 腹股沟斜疝; 腹膜外注水法
Keywords:
Single site laparoscopy; Children; Giant; Oblique inguinal hernia; Extraperitoneal water injection
文献标志码:
A
摘要:
目的探讨经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝的效果。方法回顾性分析2019年6月~2022年9月我院65例内环口疝囊颈直径≥15 mm的原发性单侧巨大腹股沟斜疝患儿资料，其中37例行经脐单部位腹腔镜联合腹膜外注水法疝囊高位结扎术(经脐组)，另28例行常规三孔腹腔镜疝囊高位结扎术(三孔组)。比较2组手术时间、术后24小时切口疼痛评分、住院时间、切口并发症及术后1年复发和睾丸高位情况。结果2组均顺利完成手术，术中出血<2 ml，无术中并发症。经脐组术后24小时疼痛评分低于三孔组［1.0(1.0,1.0)分vs.3.0(2.0,3.0)分，Z=-6.182，P=0.000］，2组手术时间、住院时间、切口并发症差异无统计学意义(P>0.05)。2组随访至术后1年，经脐组无复发、睾丸高位，三孔组1例复发(P=0.431)，1例睾丸高位(P=0.422)。结论熟练掌握手术技巧后，经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝，具有切口美观、恢复快、并发症少的优点。
Abstract:
ObjectiveTo investigate the clinical effect of transumbilical single site laparoscopy combined with extraperitoneal water injection in the treatment of large oblique inguinal hernia in children.MethodsA retrospective analysis was performed on 65 children with primary unilateral giant inguinal hernia with cervical diameter ≥ 15 mm in our hospital from June 2019 to September 2022. Among them, 37 patients underwent high ligation of the hernia sac by transumbilical single site laparoscopy combined with external peritoneal water injection (transumbilical group). The other 28 patients underwent conventional threeport laparoscopic high ligation of hernia sac (threeport group). The operation time, incision pain score 24 hours after surgery, length of hospital stay, incision complications, and recurrence and high testicular position at 1 year after surgery were compared between the two groups.ResultsBoth groups successfully completed the operation without intraoperative complications. The intraoperative bleeding was less than 2 ml. The 24 h postoperative pain score of the transumbilical group was lower than that of the threeport group ［1.0 (1.0, 1.0) points vs. 3.0 (2.0, 3.0) points, Z=-6.182, P=0.000］. There was no significant difference in operation time, hospital stay and incision complications between the two groups (P>0.05). The two groups were followed up for 1 year after the operation. There was no recurrence or high testis in the transumbilical group, and 1 case of recurrence (P=0.431) and 1 case of high testis (P=0.422) in the threeport group.ConclusionAfter mastering the surgical skills, transumbilical single site laparoscopy combined with extraperitoneal water injection for the treatment of large inguinal hernia in children has the advantages of good cosmetic incision appearance, quick recovery, and few complications.

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备注/Memo

备注/Memo:
*通讯作者，Email：1066300096@qq.com ①(福建医科大学省立临床医学院福建省立医院小儿外科，福州350001)
更新日期/Last Update: 2023-11-08