腹腔镜手术治疗腹股沟疝70例临床体会

Clinical experience of 70 cases of laparoscopy in the treatment of inguinal hernia

目的:探讨腹腔镜手术治疗腹股沟疝的安全性与体会。方法:回顾分析2011年5月至2012年5月为70例腹股沟疝患者行腹腔镜手术的临床资料。其中斜疝58例,直疝12例,行经腹腹膜前疝修补术(transabdominal preperitoneal prosthe-sis,TAPP)60例、全腹膜外疝修补术(totally extraperitoneal prosthesis,TEP)10例。结果:TAPP手术时间30～61 min,平均(42.6±4.3)min;术后住院3～7 d,平均(3.5±1.3)d。TEP手术时间33～58 min,平均(41.3±5.2)min;术后住院3～6 d,平均(3.4±1.5)d。术后发生血清肿2例,阴囊积液2例。结论:腹腔镜手术治疗腹股沟疝具有操作简便、切口小、康复快等优点,疗效与传统疝修补术无明显差异,可根据术者临床经验选择TAPP或TEP。

Objective ： To explore the safety and experience of laparoscopic operation in the treatment of inguinal hernia. Meth- ods：A retrospective analysis was made on the clinical data of 70 patients who suffered from inguinal hernia and underwent laparoscopic treatment from May 2011 to May 2012 in haiyan county peopleg hospital. Those included 58 cases of inguinal hernia and 12 cases of di- rect hernia. 60 patients were treated by transabdominal preperitoneal prosthesis （TAPP） ,and 10 ]patients underwent totally extraperito- neal prosthesis （TEP）. Results：The operation time of TAPP was between 30 and 61 min,the average time was （42.6 -＋ 4.3） rain, the postoperative hospital stay was between 3 and 7 d,the average was （3.5 - 1.3） d. The operation time of TEP was between 33 and 58 rain,the average time was （41.3 ＋5.2） rain,the postoperative hospital stay was between 3 and 6 d,the average was （3.4 _ 1.5 ） d. There were two cases of seroma and two cases of scrotum effusion after the operation. Conclusions ： Compared with traditional hernia re- pair, laparoscopy in the treatment of inguinal hernia has the advantages of easy operation, small incision and quick recovery,there is no significant difference in curative effect, TAPP and TEP carl be chosen according to the doctors＂ clinical experience.