腹腔镜上腹部切口疝修补术45例临床应用

Laparoscopic upper abdominal incisional hernia repair application of 45 cases

目的探讨腹腔镜上腹部切口疝修补术的方法改进与效果。方法回顾性分析我院自2008年8月至2013年7月完成的腹腔镜上腹部切口疝修补术45例的病例资料。结果本组45例患者，中转开腹手术2例。关闭缺损法腹腔镜切口疝修补术35例。手术时间45—190min，平均（105±34．6）min；术后24—48h下床活动；1～3d后肠排气。术后住院时间2～17d，平均（6．5±2．8）d。39例患者随访1～56个月，有1例复发，复发率为2．6％，未发现慢性疼痛性并发症。结论腹腔镜上腹部切口疝修补术微创、并发症的发生率低、具有良好的应用前景。

Objective To evaluate the feasibility and efficacy of ]aparoseopic upper abdominal incisional hernia repair. Methods The outcomes for 45 upper abdominal incisional hernia patients who underwent laparoseopic incisional hernia repair in our hospital from August 2008 to July 2013 were analyzed retrospectively. Results Fourty-five patients were operated successfully, converted to open surgery in2 patients. The closure of hernia sac laparoscopic incisional hernia repair was performed in 35 patients, Operative time was 45 - 190min, the average 105min. 24 - 48h after getting out of bed; 1 ~ 3d hindgut vent. Postoperative hospital stay was 2 - 17 d, an average of 6.5 d. All 39 patients were followed up for 1 to 56 months, recurrence occurred in 1 patient, recurrence rate 2.6% there is no chronic pain complications. Conclusion Laparoscopic upper abdominal incisional hernia repair help reduce complications, recurrence rate and economic burden of patients with clinical applications.