急性腹股沟嵌顿性疝腹腔镜处理策略(附60例报告)

Laparoscopic treatment of acutely incarcerated inguinal hernia:a report of 60 cases

目的探讨腹腔镜治疗急性腹股沟嵌顿性疝的可行性和有效性。方法2004年1月～2007年6月,应用腹腔镜手术治疗60例急性腹股沟嵌顿性疝。结果60例均在腹腔镜下手术成功,无中转开腹,平均手术时间55min(15～120min),5例小肠坏死行肠切除术,1例行大网膜切除术。术中、术后无并发症发生,补片未发现感染,肠鸣音恢复时间16.4h(4.0～48.0h),住院天数5.5d(2～7d)。随访60例6～42个月,平均28个月,无肠梗阻、复发、睾丸萎缩。结论腹腔镜治疗急性嵌顿性斜疝安全、可行、有效,具有腹腔镜微创优势。

【Objection】To analyze the feasibility and effectiveness of laparoscopic approach to acutely incarcerated inguinal hernia. 【Methods】 We retrospectively collected and evaluated the data of our clinic for the period of January 2004 until June 2007. In this period we performed total 250 hernia repairs including 60 patients suffering from an incarcerated inguinal hernia using laparoscopic approach. 【Results】In all 60 patients, the procedure was successful. No conversion to the open approach was required. The mea...