腹腔镜小儿腹股沟斜疝高位结扎术142例临床分析

Laparoscopic high ligation for indirect inguinal hernia in children in 142 cases

目的：探讨小儿腹腔镜行腹股沟斜疝疝囊高位结扎手术方法、疗效及优缺点。方法：用腹腔镜手术治疗142例小儿腹股沟斜疝，其中右侧斜疝89例，左侧斜疝39例，双侧斜疝14例。单侧斜疝中有11例同时存在对侧隐性疝。所有斜疝均在腹腔镜下行内环口高位缝扎术。结果：手术时间平均单侧疝14min，双侧疝26min；术后平均2天出院。皮肤切口无须缝线、无并发症。病人随访6～26个月，平均15个月，斜疝未见复发。结论：腹腔镜下行斜疝疝囊高位结扎术是一种简单易行、安全有效、创伤小、恢复快的微创治疗方法。

Objective： To study the method, advantage and shortcoming of laparoscopic treatment for indirect ingninal hernia in children. Methods： 142 cases with indirect inguinal hernia （right： 89cases, left： 39 cases, bilateral： 14 cases） were treated by laparoscopic surgery. Among 128 cases with unilateral hernia, llcases had contralateral latent hernia. All these patients had been undergone high ligation surgery with laparescope. Results： The mean of operative time was 14 min in unilateral hernia and 26 min in bilateral hernia. The mean of postoperative hospital stay was 48h. Skin sutures were not required. All patients had been followed-up for 6 ～26 months （15 months mean）, no complication and recurrence were detected. Conclusions： laparoscopic high ligation for indirect inguinal hemia in children is a single, satisfactory, effective, and minimally invasive surgical method.