腹腔镜腹壁疝修补术关闭疝环105例疗效分析

Laparoscopic ventral hernia repair with defect closure: An analysis of clinical outcomes in 105 patients

目的探讨腹腔镜腹壁疝修补术关闭疝环的临床疗效。方法回顾性分析新疆维吾尔自治区人民医院2010年6月至2015年12月行腹腔镜腹壁疝修补术关闭疝环的105例病人临床资料。结果 105例病人无中转开放手术。手术时间为(102.6±41.9)min,术后下床活动时间为(1.3±0.5)d,术后肠排气时间为(1.5±0.6)d。15例(14.3%)病人术后3 d内应用止痛药。术后住院时间为(4.2±1.5)d。术中肠管损伤1例(1.1%),术后不完全性肠梗阻1例(1.1%),切口感染2例(1.9%)。术后92例病人获得随访,随访时间为4~69个月,1例(1.1%)复发。未发现血清肿、补片膨出、补片感染及慢性疼痛等并发症。结论腹腔镜腹壁疝修补术关闭疝环并发症少、复发率低,安全可行。

Objective To investigate the clinical outcomes of laparoscopic ventral hernia repair with defect closure. Methods The clinical data of 105 patients who underwent laparoscopic ventral hernia repair with defect closure in the People＇s Hospital of Xinjiang Uygur Autonomous Region from June 2010 to December 2015 were analyzed retrospectively. Results Of all the 105 patients, there was no patient converted to open operation. The mean operation time was （102.6±41.9） minutes. The out-of-bed activity time after operatiom was （1.3±0.5） days, and the postoperative flatus time was （1.5±0.6） days. Fifteen patients required for analgetic within 3 days after operation （14.3%） . The length of postoperative hospital stay was （4.2± 1.5） days. There was only 1 patient occurred intra-operative bowel injury （1.1%） . Other eompilications included 1 incomplete ileus （1.1%） and 2 wound infection （1.9%） . A total of 92 patients were followed up for 4 to 69 months, and just 1 patient （ 1.1% ） recurred. No complications of seroma formation, mesh bulging, mesh infection and chronic pain was found. Conclusion Laparoscopic ventral hernia repair with defect closure is safe and feasible, has fewer complications and lower recurrence rate.