腹腔镜下微创治疗儿童腹股沟疝的临床体会

Clinical experience of laparoscopic inguinal hernia repair in children

目的：探讨腹腔镜下微创治疗儿童腹股沟疝的可行性。方法回顾性分析2012年4月至2013年9月，六盘水市人民医院在全身麻醉腹腔镜下行儿童疝囊高位结扎治疗儿童腹股沟疝198例的临床资料。结果198例患者手术均顺利，手术时间10-20 min，平均15 min。术后均未用抗生素，术后6h内即可适量活动及进流质饮食。所有患者均达一期愈合，住院时间3-4d。术后随访6个月，均无复发、血肿、水肿等并发症；术后发生切口大网膜疝1例。结论儿童腹股沟疝行腹腔镜下疝囊高位结扎术，减少术后复发，并发症少，值得临床推广应用。

Objective To evaluate the feasibility of laparoscopic inguinal hernia repair as a minimally invasive treatment in children.Methods A total of 1 98 cases of inguinal hernia in children receiving laparoscopic high ligation of sac under general anesthesia in Liupanshui People′s Hospital from April 2012 to September 2013,were enrolled and their clinical data were retrospectively analyzed.Results All operations were successfully completed.The operating time ranged from 10 to 20 minutes （mean 15 minutes）.No postoperative antibiotics was applied.Appropriate activity and liquid diet could been given in 6 hours after operation.All patients were healing by first intention,and the hospital length of stay was 3 to 4 days.After a follow-up of 6 months,no recurrence,hematoma,edema and other complications was observed;while greater omentum incisional hernia occurred in 1 patient after operation.Conclusion Laparoscopic high ligation hernia sac technique in children reduce postoperative recurrence of hernia,and has few complications,is worthy to be popularized in clinic.