腹腔镜完全腹膜外法治疗腹股沟疝的临床研究(附32例报告)

The clinical research of laparoscopic extraperitoneal herniorrhaphy:a report of 32 cases

目的总结完全腹膜外法腹腔镜疝修补（TEP）的初步经验及临床效果。方法回顾分析2005年1月至2007年10月我院采用TEP治疗腹股沟疝的临床资料。结果手术均获成功，无中转其他术式。手术时间40～175min，平均86min。住院时间5～9d，平均7d。手术并发症4例，占12．5％，均为腹股沟区或阴囊血肿或血清肿。随访1个月至2年9个月。早期开展时有3例短期内复发，经开放无张力修补术治愈，复发率为9％。结论TEP手术安全可靠，术后疼痛轻、恢复快、复发率低，同其他腹腔镜疝修补术相比优势明显，已成为治疗腹股沟疝的主要术式，具有推广价值。

Objective To summarize the preliminary experiences and clinical effects of laparoscopic extraperitoneal herniorrhaphy （TEP）. Methods The clinical data of laparoscopic extraperitoneal herniorrhaphy were analyzed during January 2005 to October 2007. Results All operations of TEP were performed successfully without conversion to other operations. The average operating time was 86 min （range： 40 ～ 175）. The mean hospital stay was 7 days （range： 5 -9）. The complications were scrotum and inguina hematomas or seromas ,which occurred in 4 cases （ 12.5% ）. All the patients were followed up for 1 ～ 33 months. There was 3 cases （9%） of recurrence in the early stage and they were cured with open repair. Conclusion The procedure of TEP is safe,with faster postoperative recovery,less pain and lower recurrence rate. TEP should be the main laparoscopic procedure for inguinal hernia repair.