腹腔镜在腹股沟疝修补术中的应用

The application of laparascopy in inguinal herniorrhaphy

目的 :探讨腹腔镜在腹股沟疝修补手术中的优缺点。方法 :31例腹股沟疝行腹腔镜疝修补术 ,其中斜疝 2 5例 ,直疝 6例 ,复发疝 4例 ,均行腹腔内术式 (TAPP)。结果 :手术全部完成。平均手术时间 6 1min(40～ 95min) ,无中转手术 ,4例同时行胆囊切除术。平均住院 7.5d。术后近期随访无复发。结论 :腹腔镜疝修补术是一种安全的手术 ,术后恢复时间短、复发率低。

Objective: To study the advantage and shortcoming of laparoscopy in inuinal herniorrhaphy. Methods: 31 patients with inguinal hernia were treated with laparoscopy. There were 25 indirect inguinal hernia, 6 direct inguinal hernia and 4 recurrence inguinal hernia. The transabdominal preperitoneal laparoseopic mesh repair f hernia(TAPP) was performed in all patients. Results: All cases were operated successfully. The average operation time was 61(45～90)minutes. There was no conversion operation. Lapaoseopic Cholecystectomy(LC) was performed in 4 patients in the mean time. The median hospital stay was 7.5 days. No recurrence was observed in recent follow-up. Conclusion: Laparoscopic herniorrhaphy is a safety operation with rapid recovery and a low recurrence.