腹腔镜下完全腹膜外疝修补术120例临床分析

Laparoscopic totally extraperitoneal hernia repair： a clinical analysis of 120 cases

目的总结腹腔镜完全腹膜外疝修补术的临床经验。方法回顾分析2010年9月至2015年8月对120例腹股沟疝及股疝行腹腔镜下完全腹膜外疝修补术的临床资料。结果手术均获成功，手术时间30～61min，平均（42．6±4．3）min。术后住院3～7d，平均（3．5±1．37）d。术后发生血清肿2例，经理疗1周左右吸收。未发生切口感染。随访5—56个月，无一例复发，1例于术后18个月感染，取出补片治愈。术后未发生慢性持续性疼痛及异物感。结论腹腔镜下完全腹膜外疝修补术具有创伤小、康复快、术后舒适性强的优点，手术安全、可靠、长期效果良好。

Objective To summarize the clinical experience of totally extraperitoneal laparoscopichemioplasty. Method Retrospectively analyzed clinical data for 120 cases of inguinal hemia and femoral hernia who underwent totally extraperitoneal laparoscopic hernia repair between September 2010 and August 2015. Results Surgery was successfully performed, with the average operation time of （42.6±4.3） min （30-61 min）, the average postoperative hospital stay of （3.5±1.37）d （3-7 d）. Seroma occurred in 2 cases postoperatively but was absorbed in 1 week. There was no incision infection. No recurrence happened during 5-56 months＇ follow-up. 1 patient was observed with incision infection 18 months after surgery but cured by means of removing patch. There was no persistent pain or foreign body sensation. Conclusion Totally extraperitoneal laparoscopic hemioplastyhas the advantages of less invasive tissue damage, faster recovery, and better postoperative comfort, which is safe and reliable, with good long-term effect.