小儿腹股沟斜疝单孔腹腔镜手术中用大圆针行疝囊高位结扎术的疗效

Single-incision laparoscopic high ligation of hernial sac using a larger round-tipped needle for indirect inguinal hernia in children

目的观察小儿腹股沟斜疝单孔腹腔镜手术中用大圆针行疝囊高位结扎术的疗效。方法 94例作单孔腹腔镜手术的腹股沟斜疝患儿分为观察组(52例)和对照组(42例),分别采用大圆针或联用大圆针和疝气针行疝囊高位结扎术,比较两组术式改变、手术时间、住院时间、术中血管损伤、术后并发症及复发情况。结果两组术式改变、手术时间、术中血管损伤差异有统计学意义(P<0.01或0.05),而住院时间、术后并发症及复发差异无统计学意义(P>0.05)。结论单孔腹腔镜手术中用大圆针行疝囊高位结扎术是治疗小儿腹股沟斜疝的安全、有效方法。

Objective To observe the clinical effect of high ligation of hernial sac using a larger round-tipped needle during single incision laparoscopic surgery （SILS） for indirect inguinal hernia （IIH） in children. Methods Ninety-four children with IIH underwent SILS were divided into observation （n=52） and control （n=42） groups, and received high ligation of hernial sac using a larger round-tipped needle and additional hernial needle, respectively. Operation mode change, operation time, hospital stay, intraoperative vascular injury, postoperative complications and recurrence were compared between both groups. Results Operation mode change, operation time, and intraoperative vascular injury were different （P〈0.01 or 0.05）, while hospital stay and postoperative complications and recurrence were insignificant between 2 groups （P〉0.05）. Conclusion High ligation of hernial sac using a larger round-tipped needle during SILS is effective and safe for children with IIH.