腹腔镜下腹壁疝修补术的治疗现状与进展

Current Situation and Progress of Laparoscopy Hernia Repair in the Treatment of Ventral Hernia

腹壁疝是普外科最常见的疾病之一,主要包括腹股沟疝、切口疝、造口旁疝等,手术是其唯一的治愈方法。腹腔镜腹壁疝修补术是在无张力疝修补术的基础上发展起来的一种微创技术,主要包括腹腔镜下腹壁疝修补术(LIHR),如经腹腔镜腹膜前补片修补术(TAPP)和完全腹膜外补片修补术(TEP),腹腔镜下切口疝修补术及腹腔镜下造口旁疝修补术。其术后常见并发症与传统疝修补术相同,但发生率显著低于传统的开腹疝修补术。与传统疝修补术相比,腹腔镜腹壁疝修补术具有术后疼痛轻、并发症少、疤痕小、复发率低等优势,因此临床应用前景广阔。本文主要就腹腔镜下腹壁疝修补术的治疗现状与进展进行了综述。

Abdominal wall hernia is one of the most common disease in general surgery, mainly including inguinal hernia, incision hernia, parastomal hernia and so on, surgery is the only cure method. Laparoscopic repair of abdominal wall hernia is developed on the basis of tension-flee hernioplasty, including LIHR such as TAPP and TEP, laparoscopic incisional hernia repair and laparoscopic repair of parastomal hernia. Its postoperative complications are the same as the traditional hernia repair, but the incidence rate is significantly lower than the traditional surgery. Compared with the traditional hernia repair, laparoscopic abdominal wall hernia repair has obvious advantages such as fewer complication, less trauma and lower recurrence rate, so its potential applications is the most exciting. The current situation and progress of laparoscopic hernia repair in the treatment of ventral hernia were reviewed in this paper.