简易二孔法腹腔镜治疗小儿双侧腹股沟斜疝156例

目的探讨简易二孔法腹腔镜疝囊高位结扎术治疗小儿双侧腹股沟斜疝的价值。方法 2010年6月～2011年12月,笔者所在医院对156例双侧腹股沟斜疝患儿实施简易二孔法腹腔镜手术。结果 156例患儿在腹腔镜下成功完成双侧疝囊高位结扎术,0.5～2岁患儿51例,平均手术时间(35.0±2.2)min;2～7岁患儿105例,平均手术时间(26.5±2.5)min。术后未见阴囊水肿、睾丸疼痛及缺血性坏死。随访1～6月者95例,6～12月者30例,12～15月者23例,均无腹腔粘连,1例单侧复发(0.6%)。结论二孔法腹腔镜疝囊高位结扎术治疗小儿双侧腹股沟斜疝的操作简单,具有切口美观、手术安全、疗效可靠、并发症少、复发率低的优点,是理想的手术方式,值得推广。

Simplified two-port laparoscopic treatment for bilateral pediatric indirect inguinal hernia:report of 156 Cases

Objective To estimate the value of high ligation for pediatric bilateral indirect inguinal hernia by two-port laparoscopic treatment.Methods 156 patients with bilateral indirect inguinal hernia who presented in our hospital from June 2010 to December 2011 underwent simplified two-port Laparoscopic Treatment.Results High ligation of bilateral hernia sac was successfully performed with laparoscopy in all 156 patients.51 cases were in group of 0.5-2 years old with operation time of(35.0±2.2)mins and 105 cases in group of 2-7 years old with operation time of(26.5±2.5)mins.No post-operative hydrocele,testis pain and avascular necrosis were detected.Follow-up was achieved in 95 patients for 1-6 months,30 patients for 6-12 months and 23 patients for 12-15 months.No postoperative peritoneal adhesion presented.1 patient showed unilateral recurrent hernia(0.6%).Conclusion Two-pot laparoscopic high ligation of hernial sac offers many practical advantages such as simplicity of operation,minimal incision,safety,reliable effect,less complications and low recurrence rate,which is an ideal operation method and worth being recommended.