腹腔镜腹股沟疝修补术216例临床分析

Laparoscopic repair of inguinal hernia:with a report of 216 cases

目的:探讨腹腔镜腹股沟疝修补术的疗效及可行性。方法:216例249侧腹股沟疝用腹腔镜行疝修补术,全部经腹腔修补。其中腹股沟斜疝191例207侧,腹股沟直疝25例42侧。结果:手术均获成功,手术时间70～120min,平均90min。术后平均住院5d。随访162例,1例复发,复发率0.46%。结论:腹腔镜疝修补术具有患者康复快、疗效好、复发率低、疼痛轻等优点,值得推广应用。

Objective：To evaluate the safety and therapeutic effects of the laparoscopic repair of inguinal hernia. Methods：Two hundred and sixteen patients （249 sides）with inguinal hernia were treated by laparoscopic herniorrhaphy through abdomen. There were 191 cases （207 sides） of indirect inguinal hernia and 25 cases （42 sides） of direct inguinal hernia. All of patients were performed with the transabdominal preperitoneal laparoscopic mesh repair of hernia （TAPP）. After the sac of hernia was cut off,the mesh was covered on the internal ring of hernia. Results：All the operations were successful. The operation time was 70-120min （mean 90min）. The mean postoperative hospital stay was 5d. 162 cases were followed up. One patient had recurrence. The rate of recurrence was 0.46%. Conclusions：The laparoscopic inguinal herniorrhaphy has many advantages, such as quick recovery, better efficacy, minor lesion and lower recurrence rate. It is safe and effective, and worthy to be popularized.