腹腔镜造口旁疝补片修补术的临床体会

Clinical experience of laparoscopic parastomal hernia patch herniorrhaphy

目的探讨腹腔镜下应用补片修补造口旁疝的手术方法和临床效果。方法选取18例造口旁疝患者为研究对象,对患者施行腹腔镜造口旁疝补片修补术,分析效果。结果 16例腹腔镜下手术成功,2例中转开腹。手术时间60~130 min,平均手术时间95 min。术后住院4~7 d,平均住院5.5 d。无手术死亡、感染及肠漏等并发症发生。术后随访3~28个月,平均随访15个月,无一例复发及远期并发症。结论腹腔镜造口旁疝补片修补术安全可行,短期手术效果理想。

Objective To investigate surgical method and clinical effect of laparoscopic parastomal hernia patch herniorrhaphy. Methods A total of 18 patients with parastomal hernia were taken as study subjects. They received operation by laparoscopic parastomal hernia patch, and effect was analyzed. Results All the 16 cases received successful operation, and 2 cases received alternative laparotomy. Their operation time lasted for 60~130 min, with average time as 95 min. Their postoperative hospital stay time was 4~7 d, with average time as 5.5 d. No operation death, infection or intestinal leakage occurred. Postoperative follow-up for 3~28 months, with average time as 15 months, showed no case with recurrence or long-term complications. Conclusion Laparoscopic parastomal hernia patch herniorrhaphy is safe and feasible, and it provides ideal short-term operation effect.