经腹腹腔镜腹股沟疝修补术51例报告

目的探讨经腹腹腔镜腹股沟疝修补术（TAPP）的临床应用和经验。方法回顾分析接受TAPP手术患者的临床资料、手术时间、住院时间及治疗结果、并发症。结果共有51例58侧腹股沟疝接受TAPP手术，3例合并胆囊病变同时行腹腔镜胆囊切除术。32例单侧疝，无并发病者，手术时间50～90min，平均75．6min；住院时间4．7d，平均5．5d。术后出现腹股沟区疼痛2例（2／58，3．4％），腹股沟区积液血肿7例（7／58，12．1％）。经8～60个月的随访，无一例复发，无粘连性肠梗阻发生。结论TAPP治疗腹股沟疝是安全有效的。

Objective To explore the clinical application and experience of transabdominal preperitoneal laparoscopic inguinal hernia repair（TAPP）. Methods Retrospective analysis receiving TAPP clinical material operative time hospitalization time and treatment results complication. Result Receiving TAPP operation of 51 patients 58 site, Laparoscopie operatian cut gallbladder why 3 patients complication of eholecystopathy, 50 - 90min operation time, average 75.6min, hospitalization 4 - 7 day aveage 5.5 day. Pestoperation with inguinal hematomas and hydrops 7 cases, with pain 2 cases, 8 - 60 month follow-up non recurrent, non intestinal obstruction and non adhesion. Conclusion TAPP is safety and effective of therapy.