经脐单部位腹腔镜下应用注射器行疝囊高位结扎术42例

High-ligation of hernia sac with syringe under transumbilical single-site laparoscopy for pediatric inguinal hernia

目的探讨经脐单部位腹腔镜下应用注射器行疝囊高位结扎术治疗小儿腹股沟疝的手术方法。方法 2015年12月至2016年05月间本院收治42例腹股沟疝患儿,平均年龄1岁2个月,右侧32例,左侧4例,双侧6例,均在经脐单部位腹腔镜下应用注射器行疝囊高位结扎术。结果全组42例均顺利完成手术,无中转开放手术,手术时间6~15 min,随访6个月,腹部无明显疤痕,无复发。结论经脐单部位腹腔镜下应用注射器行疝囊高位结扎术安全、有效,缩短手术时间,一次穿刺腹壁即可完成疝囊高位结扎术,简化技术,降低难度,有利于技术的推广应用。

Objective To explore the feasibility of high-ligation of hernia sac with syringe under tran- sumbilical single-site laparoscopy for pediatric inguinal hernia. Methods Between December 2015 and May 2016, 42 cases of pediatric inguinal hernia underwent high-ligation of hernia sac with syringe under transumbil- ical single-site laparoscopy. Their average age was 13 months. Among them, the involved side was right （n = 32）, left （ n = 4 ） and bilateral （ n = 6）. Results High-ligation of hernia sac with syringe under transumbili- cal single-site laparoscopy was successfully performed without conversion into open surgery. The average opera- tive duration was 7.6 （6 - 15） rain. During a follow-up period of 6 months, there was no onset of testieular at- rophy/ascent, recurrence or significant scarring. Conclusion High-ligation of hernia sac with syringe under transumbilical single-site laparoscopy is both safe and effective with shorter operative durations and fewer com- plications. It may be completed with one abdominal wall puncture.