单孔腹腔镜手术与腹横纹小切口手术治疗小儿腹股沟斜疝的临床对比

Clinical Comparison of Single-Port Laparoscopic and Small Incision Surgery through Lower Abdominal Transverse Striation in the Treatment of Pediatric Indirect Inguinal Hernia

目的:探讨单孔腹腔镜与腹横纹小切口手术治疗小儿腹股沟斜疝的临床疗效。方法:回顾分析2019年3月至2022年6月我院收治的544例腹股沟斜疝患儿的临床资料,其中260例行单孔腹腔镜手术(腔镜组),284例行腹横纹小切口手术(开放组)。两组患儿术前基线资料差异无统计学意义,对比分析两组患儿手术时间、术中出血量、术后6小时VAS疼痛评分、术后自主活动时间、住院时间、并发症发生率、复发率等相关指标。结果:腔镜组手术时间、出血量、术后6小时VAS疼痛评分、术后自主活动时间、住院时间、并发症发生率小于开放组(P < 0.05)。结论:单孔腹腔镜腹股沟斜疝疝囊高位结扎术治疗小儿腹股沟斜疝具有手术时间短、并发症少、术后恢复快等优点,值得临床推广。

Objective: To investigate the clinical efficacy of single-port laparoscopic and small incision surgery through lower abdominal transverse striation for pediatric indirect inguinal hernia. Methods: The clinical data of 544 children with indirect inguinal hernia admitted to our hospital from March 2019 to June 2022 were retrospectively analyzed, including 260 cases of single-port laparoscopic surgery (laparoscopy group) and 284 cases of small incision surgery through lower abdominal transverse striation (open group). Those differences in the baseline data of the two groups before operation failed to reach statistical significance. The operation time, intraoperative blood loss, VAS pain scores at postoperative 6 hours, postoperative spontaneous motion time, hospitalization time, incidence of complications, recurrence rate, and other related indicators were compared between the two groups. Results: The operation time, blood loss, pain scores at postoperative 6 hours, postoperative spontaneous motion time, hospitalization time, and incidence of complications in the laparoscopy group were less than those in the open group (P < 0.05). Conclusion: Single-port laparoscopic high ligation of the inguinal hernia sac for pediatric indirect inguinal hernia has the advantages of short operation time, fewer complications, and fast postoperative recovery, which is worthy of clinical promotion.