经脐单部位腹腔镜治疗罕见儿童疝体会

Experience of single-site laparoscopic surgery in treatment of rare pediatric hernias

目的探索经脐单部位腹腔镜手术在罕见儿童疝的临床应用。方法回顾性分析2014年10月至2017年10月山西省儿童医院11例罕见疝患儿行腹腔镜手术的临床资料。其中男性患儿7例,女性患儿4例,年龄1~12岁。其中腹股沟滑疝5例,腹股沟直疝5例及股疝1例。结果本组患儿均经脐单部位完成,手术时间20~39 min,无中转开放手术,均术后第2天出院。术后无切口感染、阴囊血肿发生。结论经脐单部位腹腔镜手术治疗罕见小儿疝安全、微创、恢复快,值得推广应用。

Objective To evaluate the value of single-site laparoscopic surgery on rare pediatric hernias.Methods Retrospective analyses were conducted for the clinical data of 11 cases with rare pediatric hernias underwent laparoscopic surgery in Shanxi Children's Hospital from October 2014 to October 2017.There were seven boys and four girls,aged 1 to 12 years old.Among them,5 cases were sliding inguinal hernia,5 cases were direct inguinal hernia,and 1 case was femoral hernia.Results The children in this group were all completed through a trans-umbilical single-site,without convert to open surgery.the operation time was 20 to 39 minutes.All were discharged on the second day after surgery.No wound infection or scrotal hematoma occurred after operation.Conclusions Trans-umbilical single-site laparoscopic surgery is both safe and mini-invasive for rare pediatric hernias.It is worthy of popularization and application.