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腹腔镜下完全腹膜外腹股沟疝修补术55例体会 被引量:32

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摘要 目的 总结腹腔镜下完全腹膜外腹股沟疝修补术(TEP)的临床经验及手术体会。方法 回顾性分析55例(63侧)行TEP治疗患者的临床资料,均为原发疝,单侧47例,双侧8例;斜疝49例,直疝6例。结果 53例顺利完成TEP,2例中转腹腔镜经腹腹膜前疝修补术。单侧手术时间30~210(67.6±35.7)min,双侧手术时间40~225(100.6±55.6)min;腹膜破损8例,无腹壁下血管、精索血管、输精管损伤,无一例使用止痛剂及尿潴留发生。术后1~7d出院,患者术后第1、6个月电话随访。2例出现术后远端疝囊血肿,经穿刺抽吸治疗后好转;无一例复发及发生切口感染、慢性疼痛、内脏损伤、感觉异常等并发症。结论 TEP是目前成人腹股沟疝修补术中较理想的术式,手术操作的要点与难点主要为腹膜外前间隙的建立、镜下解剖标记的辨认与合理应用、疝囊的处理及补片的放置。
出处 《江苏医药》 CAS 2016年第20期2281-2282,共2页 Jiangsu Medical Journal
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