腹腔镜与杂交技术治疗腹壁切口疝70例分析

Laparoscopic and hybrid technique for the repair of incisional hernia ： a report of 70 cases

目的总结比较单纯腹腔镜治疗腹壁切口疝与采用杂交技术修补腹壁切口疝的疗效。方法回顾性分析复旦大学附属华东医院疝和腹壁外科治疗与培训中心2014年1月至2015年12月应用腹腔镜技术及杂交技术修补腹壁切口疝的70例患者的临床资料。结果手术均顺利完成。手术时间腹腔镜组（60±27）min；杂交技术组（120±32）min。疝环缺损腹腔镜组（6±4）cm，杂交技术组（8±6）cm。腹腔镜组发生浆液肿1例，杂交技术组切口脂肪液化1例。均保守治愈。住院天数腹腔镜组为（8±5）d，杂交技术组（14±16）d。随访6-30个月．均无复发。结论应用腹腔镜和杂交技术修补腹壁切口疝都是安全可靠的。

Objective To analyze the clinical value of laparoscopic and hybrid technique for the repair of ineisional hernia. Methods The clinical data of 70 eases of ineisional hernia undergoing laparoscopic and hybrid repair from Jan 2014 to Dec 2015 in Huadong Hospital were analyzed retrospectively. Results All cases were operated on successfully and recovered. The operation time was （ 60 ± 27 ） min for laparoscopic and （ 120 ±32 ） min for hybrid repair. The length of incision was （ 6 ± 4 ） cm for laparoscopie repair and （8 ±6） cm for hybrid. Postoperative complications included seroma in 1 case in laparoscopie group , incisional fat liquefation in 1 case in hybrid group. All were cured with conservative treatment. Hospital stay was （ 8 ± 5 ） days in hybrid group and （ 14 ± 16 ） days in hybrid group. No recurrence was observed during 6 - 30 months of follow-up. Conclusion Both laparoscopie and hybrid technique for incisional hernia repair are safe and effective.