腹腔镜腹股沟疝无张力修补术56例临床体会

The Cinical Experience of 56 Cases of Laparoscopic Inguinal Hernia Repair

目的探讨腹腔镜腹股沟疝修补的临床治疗效果.方法回顾性分析昆明医科大学第一附属医院2011年7月至2012年4月共56例施行腹腔镜腹股沟疝无张力修补术患者的临床资料.结果 56例患者均顺利完成手术.单侧疝手术时间TAPP 40～87 min,TEP 35～76 min,双侧疝手术时间TAPP 75～120 min,TEP 60～110 min,术后均1～3 d出院,平均(1.4±0.9)d.全部随访(门诊或电话)5～9个月,其中92%患者则表示较传统开放式腹股沟疝无张力修补术更愿意选择LIHR.结论腹腔镜腹股沟疝修补术有其优点,发展空间广阔.

Objective To investigate some clinical experiences of laparoscopic inguinal hernia repair. Method The retrospective analysis was made on the clinical data of 56 patients who suffered from laparoscopic in- guinal hernia repair from July. 2011 to Apr. 2012. Results All patients received successful laparoscopic inguinal hernia repair. The unilateral mean operative time was （44-87） min for TAPP, and （35-76） min for TEP. The bilateral mean operative time was （75-126） min for TAPP, and （67-115） min for TEP. The average postoper- ative stay was （1.4 ± 0.9） days （range 1-3）. All patients were followed up （outpatient service or telephone） for 5 -9 months, compared to traditional tension-free inguinal herniorrhaphy, 92% of the patients were willing to choose LIHR. Conclusion Laparoscopic inguinal herniorrhaphy has its advantages, and has broad space for development.