腹腔镜完全腹膜外补片植入术的临床体会

目的:总结腹腔镜完全腹膜外补片植入术在腹股沟疝修补术(totally extraperitoneal prosthesis,TEP)中的应用价值及经验。方法:回顾分析2008年2月至2010年4月22例患者行TEP的临床资料,其中斜疝17例,直疝5例;双侧疝4例。结果:21例手术获得成功,1例因游离腹膜前间隙时分破腹膜改行经腹腔腹膜前补片植入术。手术时间单侧平均52 min,双侧平均98 min,术后平均住院3.5 d5,例术后发生阴囊血肿。随访6～18个月,未见复发及慢性疼痛。结论:TEP安全可行,腹腔干扰少,较少分离即可完成双侧疝修补,值得推广应用。

Clinical application of the totally extraperitoneal laparoscopic inguinal herniorrhaphy

Objective:To summarize the clinical application experience of the laparoscopic totally extraperitoneal prosthesis(TEP).Methods:There was a retrospective anlysis on the clinical data of 22 patients with inguinal hernia including 17 cases of indirect inguinal hernia,5 cases of direct inguinal hernia,and 4 cases of bilateral hernia who underwent TEP from Feb.2008 to Apr.2010.Results:All the operations were performed successfully.The mean operating duration was 52 minutes for unilateral hernia and 98 minutes for bilateral hernia.The mean postoperative hospital stay was 3.5 days,5 cases of scrotum hematoma occurred.There was no recurrence and chronic pain for followed-up 6-18 months.Conclusions:The procedure of TEP is feasible,safe,effective for inguinal hernia and it’s worth widely popularizing.