腹腔镜成人腹股沟疝修补术55例临床分析

Laparoscopic herniorrhaphy for adults with inguinal hernia

目的探讨腹腔镜成人腹股沟疝修补术的手术方法和应用价值。方法回顾性分析55例成人腹股沟疝患者行腹腔镜腹股沟疝修补术的临床资料,其中斜疝46例,直疝9例。结果 55例患者手术均获成功,无中转开腹,手术时间40～65min,平均50min。38例患者行腹膜前补片修补术,17例患者行完全腹膜外补片植入术,术后未发生阴囊气肿、血清肿,无尿潴留发生。术后平均住院2～3d。随访3～34个月无复发病例。结论腹腔镜腹股沟疝修补术安全可行,具有并发症少、术后患者疼痛轻、康复快等优点,并可同时发现复合疝和隐性疝。

Objective To evaluate the surgical skills for laparoscopic herniorrhaphy and its clinical outcome. Methods The clinical data of 55 patients with inguinal hernia who had undergone laparoscopic herniorrhaphy were analyzed retrospectively. In this series, 46 patients had indirect inguinal hernia and 9 direct hernia. Results All the 55 patients underwent the operation successfully. The operation time ranged from 40 to 65 minutes （mean 50 minutes）. Transabdominal preperitoneal prosthetic repair was performed in 38 patients, and total extraperitoneal prosthesic repair was performed in 17. There were no postoperative complications such as scrotal emphysema, seroma and urinary retention. Postoperative hospital stay lasted 2-3 days.The patients were followed up for 3 to 34 months and no recurrence was observed.Conclusion Laprascopic herniorrhaphy is feasible in treating patients with inguinal hernia. It is advantageous with a lower complication rate, less sufferings, and a quicker recovery.