摘要
目的:探讨腹腔镜完全腹膜外腹股沟疝修补术(totally extraperitoneal prosthesis,TEP)的可行性,并评价术中、术后并发症、复发率等临床效果。方法:回顾分析2012年1月至2012年6月全麻下为85例(96侧)患者行腹腔镜TEP的临床资料。结果:84例(95侧)手术获得成功,1例(1侧)中转开腹。1例术后发生远端疝囊血清肿,经穿刺抽吸治疗后好转,并发症发生率为1.2%。术后平均随访(7±0.8)个月,无复发,患者无明显不适感。结论:腹腔镜TEP安全、可行,并发症发生率低,复发率低,优势明显。
Objective: To explore the feasibility of totally extraperitoneal laparoscopic inguinal hernia repair, and evaluate its effect with regard to intraoperative and postoperative complications as well as recurrence rate. Methods:A retrospective analysis was made on the clinical data of 85 patients (96 sides), who underwent laparoscopically totally extraperitoneal prosthesis (TEP) under general anesthesia between Jan. 2012 and Jun. 2012. Results : Eighty-four procedures (95 sides ) were performed successfully, while one case (1 side) was converted to open surgery'. Distal hernia sac seroma was observed in one patient (1.0%) , and was relieved after needle aspiration. The mean postoperative follow-up was (7 ± 0.8 ) months. The recurrence was not observed. None of the follow-up patients complained late discomfort. Conclusions : Laparoscopic TEP for inguinal hernia is safe and feasible with obvious advantages, such as less complications and lower recurrence rate.
出处
《腹腔镜外科杂志》
2013年第4期305-307,共3页
Journal of Laparoscopic Surgery