摘要
目的评价改良的完全腹膜外腹腔镜疝修补(totally extraperitoneal laparoscopic hernia repair,TEP)手术方法的可行性和安全性。方法2007年1月~8月,在全麻下行改良TEP31例。用一次性吸引器头的塑料外套管对手术区域的腹膜前间隙进行初步分离,再将国产单腔气囊导管小心置入腹膜外间隙,充气扩张建立腹膜外间隙。术中不固定补片。结果手术全部成功,手术时间(69.8±21.8)min,术中出血量(7.6±4.2)ml,术后住院时间(2.6±1.3)d。术中腹膜破裂5例,术后阴囊积液2例,无其他手术并发症。31例随访1~7个月,(4.2±2.4)月,未见复发及腹股沟区慢性疼痛等并发症。结论改良TEP是一种安全可行的无张力疝修补技术,腹股沟区慢性疼痛症状少。
Objective To assess the feasibility and safety of modified laparoscopic totally extraperitoneal(TEP)hernia repair.Methods From January to August 2007,a total of 31 patients with hernia were treated with modified TEP hernia repair under general anesthesia in our hospital.During the operation,the anterior peritoneal space was separated,and then a domestic single balloon catheter was inserted into the extraperitoneal space to expand the latter.The mesh was not fixed during the operation.Results All the operati...
出处
《中国微创外科杂志》
CSCD
2008年第5期408-410,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
腹股沟疝
完全腹膜外腹腔镜疝修补术
Laparascope
Inguinal hernia
Totally extraperitoneal laparoscopic hernia repair
