腹腔镜经腹腔补片修补术治疗腹股沟疝的评价

Clinical evaluation on transabdominal preperitoneal laparoscopic mesh repair of inguinal hernia

目的：探讨腹腔镜经腹腔腹膜前网片修补术（transabdominal preperitoneal prosthesis，TAPP）治疗腹股沟疝的特点及疗效。方法：回顾分析2004年11月至2007年4月19例男性患者单侧腹股沟疝采用TAPP手术治疗的临床资料。结果：19例手术均在腹腔镜下完成，无中转手术，手术时间50～76min，平均63min。术后24～48h患者下床活动，住院5～7d，无并发症发生，术后随访2～25个月，1例复发（5．2％）。结论：TAPP治疗腹股沟疝是安全可行的疝修补方法，遵循疝修补无张力的原则，具有患者痛苦轻，康复快等特点，是治疗腹股沟疝的有效手段。

Objective：To investigate the effect of transabdominal preperitoneal laparoscopic mesh repair of hernia （TAPP）in treatment of inguinal hernia. Methods ： Ninteen male patients with single inguinal hernia were treated with TAPP from Dec. 2004 to Apr. 2007. The clinical data were analyzed and summarized retrospectively. Results：Laparoscopic inguinal hernia repair with meshes was successfully performed in all eases, no convertion to open operation occurred. The operative time was 50-76min（ mean 63min）. Postoperative hospitalization was 5-7 days and no complications,happened after 2-25 months of follow-up,one case recurred. Conclusions： TAPP in treating inguinal hernia is safe, effective and tension-tree with little wound and fast recovery.