腹腔镜完全腹膜外疝修补治疗腹股沟疝78例报告

Laparoscopic totally extraperitoneal prosthesis:a report of 78 cases

目的:探讨腹腔镜完全腹膜外疝修补术(totally extrape ritoneal prosthesis,TEP)的安全性、可行性、有效性及手术技巧。方法:回顾分析2005年11月至2008年3月我院收治的78例、85例次腹股沟疝患者行TEP的临床资料。其中单侧71例,双侧7例;直疝16例次,斜疝69例次;复发疝7例。结果:77例成功实施TEP,1例中转行经腹腔腹膜前修补术。手术时间45～105min。术后不需使用镇痛剂,住院3～8d,平均4.5d。术后发生阴囊血清肿6例(7%)。随访3～31个月,无复发病例。结论:TEP手术安全可靠,术后患者疼痛轻、康复快、复发率低。

Objective：To study the safety, the feasibility, the efficacy and the operation skills of totally laparoscopic extraperitoheal prosthesis （TEP）. Methods： Between Nov. 2005 and Mar. 2008,78 patients with inguinal hernia were performed 85 times of TEP, including 16 direct inguinal hernia and 69 indirect inguinal hernia. Among 78 patients ,71 patients had unilateral hernia and 7 patients had bilateral hernias,including 7 recurrent hernias. The clinical data were retrospectively analyzed. Results：Among 78 cases of TEP, 1 case was converted to transabdominal preperitoneal prothesis（TAPP）. The operations lasted for 45 to 105 minutes. The patients stayed in hospital for 3 to 8 days. The average was 4.5 days. The patients didn＇t need analgesics. The most common complication was scrotum seroma,which appeared in 6 cases（7% ）. All the patients were followed up for 3 to 31 months. There was no recurrent cases. Conclusions ： The procedure of TEP is safe and reliable, with faster postoperative recovery, less pain and lower recurrence rate.