腹腔镜完全腹膜外疝修补术53例应用体会

Laparoscopic total peritoneal hernia repair in 53 cases

目的探讨腹腔镜完全腹膜外疝修补术（TEP）的安全性及可行性,并进一步总结手术经验。方法回顾性分析2010年1月至2015年1月贵州省人民医院收治的53例（共61侧）腹股沟疝患者行TEP手术的临床资料。结果全组左侧及右侧腹股沟疝患者分别为22及23例,双侧腹股沟疝患者8例,直疝及斜疝分别为23侧及38侧。共行61侧TEP手术,1例中转行TAPP术。单侧手术时间为45~130 min,术中出血量10~30 ml。术后住院时间2~5 d,平均3.5 d。术后主要并发症为阴囊血清肿2例,阴囊气肿或水肿13例,术后早期复发1例。结论 TEP术后疼痛轻、恢复快、并发症少,是一项安全可靠的疝修补手术方式。

Objective To investigate the safety and feasibility of laparoscopic totally extraperitoneal hernia repair（ TEP）,and to summarize the operation experience. Methods A retrospective analysis was conducted on 53 cases（ 61 sides） of inguinal hernia who underwent TEP repair in Guizhou People＇s Hospital from January 2010 to January 2015. Results Of 53 cases（ 61 sides） of hernia,there were 22 in left,23 in right,and 8 cases of bilateral inguinal hernia,including 23 direct hernias and 38 indirect hernias. A total of61 sides of hernia were performed with TEP repair,and the other one was converted to TAPP repair. The unilateral operation time was 45 to 130 minutes,and intraoperative blood loss was 10 to 30 ml. The mean length of postoperative hospitalization was 3. 5 days（ 2 to 5 days）. Scrotal seroma occurred in 2 cases,scrotal emphysema or edema in 13 cases,and early recurrence in 1 case. Conclusion TEP repair shows less postoperative pain,quicker recovery and less complications,is a safe and reliable procedure.