腹腔镜经腹腔腹膜前疝修补术35例报告

Report of 35 patients treated with transabdominal preperitoneal laparoscopichernioplasty

目的探讨腹腔镜经腹腔腹膜前疝修补术(TAPP)的适应证及方法。方法回顾性分析该院35例采用腹腔镜经腹腔腹膜前疝修补术的腹股沟疝病例资料。结果所有病例均成功施行手术,手术时间(45±12)min,平均住院(4.5±1.5)d,术后未发生如复发、感染等并发症。结论TAPP疗效可靠、创伤小、恢复快,而且术后复发率较低,值得临床应用。

[Objective] To explore the indications and techniques of transabdominal preperitoneal laparoscpic hernioplasty(TAPP). [Method] The clinical data of 35 patients with inguinal hernia, who underwent transabdomnal preperitoneal laparoscopic hernioplasty (TAPP), were retrospectively analyzed. [Result] TAPP was successfully performed in all patients. The operative duration was (45±12) min, and the mean postoperative hospital stay was (4.5±1.5) d. No complications such as postoperative recurrent hernia and infection occurred. [Conclusion] TAPP is an ideal hernioplasty with advantages including reliable effect, tiny injury, rapid recovery and low postoperative recurrence rate, and thus is deserving clinical application.