摘要
目的探讨经腹腹膜前修补术（TAPP）和全腹膜外腹股沟疝修补术（TEP）治疗腹股沟疝的手术技巧和临床效果。方法2006年6月至2011年6月间实施腹腔镜腹股沟疝修补术153例，其中TAPP36例，TEP117例，对其的临床资料进行回顾性分析。结果无中转开放手术者，TEP转行TAP者1例。平均手术时间（65．3±25．6）min，术中出血量（6．4±2．0）ml；TEP术中腹膜撕裂12例。术后发生血清肿3例，阴囊气肿2例，修补区暂时性神经感觉异常l例，尿潴留1例；术后未出现慢性、持续性神经性疼痛、异物感，补片感染和切口感染。术后平均住院时间（3．5±0．6）d。术后随访3～24个月，平均（12．4±3．2）个月，无其他不适及复发病例。结论腹腔镜腹股沟疝修补术安全、复发率低、并发症少、痛苦轻、住院时间短、恢复快。
Objective To explore surgical techniques and clinical outcome of transabdominal preperitoneal hernia repair （TAPP） and totally extraperitoneal hernia repair （TEP） for inguinal hernia repair. Methods The clinical data of 153 patients undergoing laparoscopic herniorrhaphy were ret retrospectively analyzed. Thirty-six patients were subjected to TAPP, and 117 to TEP. Results. None of patients was converted to open operation. Only one patient subject to TEP was converted to TAPP. Average operative time was （65. 3 ± 25. 6） min. Blood loss was （6. 4 ± 2. 0） ml. Disruption of peritorieum happened to 12 patients subject to TEP. Six patients had postoperative complications as serum swelling （3 cases）, scrotal emphysema （2 cases）, transient neurapraxia in the area of repair （1 case） and urinary retention （1 case）. No chronic pain, foreign body sensation and infection were found. Average hospital stay after operation was （3. 5 ±0. 6） days. No recurrence was observed during a follow- up period of 3-24 months （average 12. 4 ± 3. 2 months）. Conclusion Laparoscope herniorrhaphy is safe due to lower recurrence and less complications. It also has the advantages of slight pain and rapid recovery.
出处
《腹部外科》
2012年第4期234-236,共3页
Journal of Abdominal Surgery
关键词
疝
腹股沟
腹腔镜
手术
Hernia,inguinal
Laparoscope
Operation
