持针式单孔法治疗小儿疝的解剖学基础与手术技巧

目的　总结持针式单孔法治疗小儿腹股沟疝的应用解剖及手术技巧。 方法　回顾性分析我院2009年3月至2013年4月，采用持针式单孔法腹腔镜治疗小儿腹股沟疝1735例。右侧892例、左侧595例、双侧248例。均为男孩，年龄23.5~36.8月，平均26.7月。 结果　1735例患儿均在腹腔镜下顺利完成疝囊高位结扎术。除早期出现1例髂血管血肿外，其余无与解剖因素有关的损伤或并发症。 结论　正确认识手术区域的解剖是手术成功与否的基础及关键，而熟练的手术操作是减少手术并发症，降低手术复发率及提高手术安全性的有力保障。

The surgical skills based on anatomic experience for treating the pediatric hernia by the single-port technique

Objective　To summarize our anatomic experience and surgical skills to treating the pediatric hernia by the single-port technique.　Method　A total of 1735 boys with the inguinal hernia who underwent single-port laparoscopic hernia repair were retrospectively included. The mean age was 26.7 months (range from 23.5 to 36.8 month). A right-sided hernia was observed in 892 boys, a left-sided hernia in 595 boys and a bilateral hernia in 248 boys.　Result　All procedures were performed successfully without any serious complications resulting from anatomical factors, except for one case of iliac vessel hematoma. Conclusion Better anatomic understanding of surgical region is crucial for successful laparoscopic hernia repair operation, and practiced technique is the key for improving the surgical safety and preventing complications and recurrence.