经脐单孔腹腔镜后鞘后入路在全腹膜外腹股沟疝修补术中的应用

Application of transumbilical single-port laparoscopic retrosheath approach in total extraperitoneal inguinal hernia repair

目的探讨经脐单孔腹腔镜后鞘后入路在全腹膜外疝修补术(TEP)中的临床应用。方法选取2022年01月至2023年7月80例腹股沟疝患者,按照数字表法将患者随机分为实验组(行经脐后鞘后入路单孔TEP)和对照组(行常规TEP),每组各40例。采用 SPSS 22.0软件处理数据,手术相关指标等计量资料以(x±s)表示,采用独立样本t检验;术后并发症、切口满意度等计数资料采用χ^(2)检验。P<0.05 表示为差异有统计学意义。结果实验组患者的术中失血量较少、切口长度较短,住院时间明显缩短,且患者疼痛视觉模拟评分(VAS)评分较低,切口满意度较高,术后并发症较少(P<0.05)。结论经脐单孔腹腔镜后鞘后入路的全腹膜外疝修补术治疗腹股沟疝安全、有效,具有住院时间短、损伤小、并发症少等优点,值得临床上广泛应用。

Objective To explore the clinical application of retrosheath approach through umbilical single-port laparoscopy in totally extraperitoneal inguinal hernia repair (TEP).Methods 80 patients with inguinal hernia treated in our hospital from January 2022 to July 2023 were randomly divided into experimental group (40 cases) and control group (40 cases). The clinical effects of the two groups were compared and analyzed by t test and χ^(2) test.Results There was no significant difference in operation time between the two groups, but the patients in the experimental group had less blood loss, shorter incision length, shorter hospitalization days, lower VAS pain score, higher incision satisfaction rate and fewer postoperative complications(P<0.05).Conclusion Transumbilical single-port laparoscopic retrosheath approach for total extraperitoneal inguinal hernia repair is safe and effective, with the advantages of shorter hospitalization time, less injury and fewer complications, which is worthy of wide clinical application.