完全腹膜外疝修补术治疗腹股沟疝72例

Seventy-two cases of totally extraperitioneal patch implatation under laparoscopic in treatment of inguinal hernia

目的探讨腹腔镜下完全腹膜外疝修补术（TEP）治疗腹股沟疝的临床效果.方法 回顾性分析2010年7月至2013年2月新疆维吾尔自治区人民医院行TEP 治疗72例腹股沟疝患者的临床资料,包括手术时间、住院时间、复发和并发症发生情况.结果 72例患者手术均获成功,手术时间40～116 min,平均手术时间（58±3） min,住院时间4～7 d,中位时间4.2 d,术后复发2例,慢性疼痛1例,中转开腹手术1例.结论 熟练掌握腹股沟解剖,运用合理的手术和规范的操作,可以有效缩短学习典线,减少手术时间,降低术中术后并发症发生,达到最合理的临床效果.

Objective To evaluate the clinical effects of totally extraperitoneal patch implantation under laparoscopic in the treatment of inguinal hernia. Methods From July 2010 to February 2013, A retrospective analysis in the Xinjiang People＇s Hospital, including 72 cases patients with laparoscopic TEP inguinal hernia were done for assessment of operation time, hospitalization time, recurrence and complications. Results Seventy-two cases were successful. Operation time： 40 to 116 mins. The mean operation time was （58 ± 3） mins and the mean hospitalization time was 4 to 7 days. The median time was 4.2 days and 2 cases was recurred. One case of chronic pain and one case of conversion to open operation were observed. Conclusions The professional inguinal anatomy, proper operation and standardized operation can effiectively shorten the learning code lines, reduce the operation time and intraoperative/ postoperative complications. The clinical effects were reasonable.