腹腔镜腹股沟疝修补手术的现状与前景

The status quo and prospect of laparoscopic inguinal hernia repair

腹腔镜腹股沟疝修补术(LIHR)在各国开展的情况不尽相同,其比例呈稳定或逐步增长的趋势。TAPP和TEP是目前腹腔镜治疗初发性腹股沟疝的两种标准术式。全麻是最常用的麻醉方式,区域性麻醉有上升趋势,局麻有报道但应用较少。除较大的直疝以外尽量不对补片进行机械性固定。LIHR是众多无张力疝修补术中的一种方式,兼有"腹膜前修补"和"微创"的特性,具有广阔的应用前景。

The application status of laparoscopic inguinal hernia repair （LIHR） varies in different countries, however, the proportion of LIHR has been maintaining a stable or increasing tendency. TAPP and TEP are two standard laparoscopic pro- cedures for primary inguinal hernias. General anesthesia is the most common approach. More reports get publis.hed with re- gional anesthesia but only a few ones with local anesthesia. No mechanical fixation is required unless the hernia is a giant direct one. LIHR is one of those tension-free procedures, featured with both ＂preperitoneal＂ and ＂minimally-invasive＂ simnltaneously, which has a promising prospect of application.