完全腹膜外腹腔镜腹股沟疝修补术55例临床分析

Clinical analysis of 55 totally extraperitoneal prosthesis cases

目的总结完全腹膜外腹腔镜腹股沟疝修补术（TEP）治疗腹股沟疝的经验,探讨TEP手术的安全性、有效性、手术技巧及术式选择。方法回顾性分析55例TEP患者的临床资料。结果 55例腹股沟疝患者均治愈,中转腹腔镜经腹腹膜前补片植入术（TAPP）手术2例,单侧手术时间25~70 min,平均时间35 min;双侧手术时间45~87 min,平均时间68 min。术后阴囊气肿3例,腹股沟区血肿或血清肿5例,术后出现暂时性神经感觉异常1例,对症处理后消失,无其他并发症发生。术后随访2~48个月,无一例复发。结论 TEP术是一种治疗腹股沟疝安全有效的术式,明显减少各种并发症和术后不适的发生率,值得临床推广应用。

Objective To summarize experience of totally extraperitoneal prosthesis （TEP） in the treatment of inguinal hernia, and to investigate safety, effectiveness, surgical skill and method of TEP. Methods Clinical data of 55 TEP patients were retrospectively analyzed. Results All the 55 TEP patients were cured. There were 2 cases received alternative laparoscope transabdominal preperitoneal （TAPP）. Unilateral operation time was 25~70 min, with average time as 35 rain. Bilateral operation time was 45~87 min, with average time as 68 min. There were 3 cases with postoperative pneumoscrotum, 5 cases with inguinal hematoma or seroma, and 1 case with postoperative temporary nerve paresthesia. All symptoms disappeared after treatment, without any other complications. Postoperative follow-up for 2~48 months showed no recurrence case. Conclusion As a safe andeffective surgical method in treating inguinal hernia. TEP can remarkably reduce incidence of complications and postoperative discomfort. This method is worthy of clinical promotion and application.