谈腹股沟疝腔镜的腹膜外修补操作技术

Discussion on operative techniques in laparoscopic transadominal preperitoneal inguinal hernia repair

腔镜腹股沟疝腹膜外修补技术(TAPP)不同于常规的开放手术,有着独特的视野与解剖层面。笔者结合自身上千例腔镜腹股沟疝修补的经验,总结出TAPP方法的七大要素,简称"七步法"。"七步法"通过固定手术场景,将手术简单化,有利于缩短手术学习曲线,推荐临床使用。

Laparoscopic transabdominal preperitoneal inguinal hernia repair （TAPP） is different from conventional open hernia repair because of its unique surgical visual field and anatomical plane. Through personal experience with thousands of cases of laparoscopic inguinal herniorrhaphy, the authors extracted seven main essentials in TAPP approach and abbreviated them as ＂seven-step maneuver＂. The ＂seven-step maneuver＂ is helpful for shortening surgery learning curve by fixing the surgery scenarios and simplifying the operation. It is recommended to be used in clinical practice.