腹腔镜完全腹膜外疝修补术的操作技巧体会

目的：分析探讨腹腔镜完全腹膜外疝修补术(TEP)操作难点及技巧。方法整群选取该院2010年8月—2015年10月收治194例TEP患者的临床资料进行回顾性分析，分析总结手术过程中遇到的操作难点及相应的手术技巧。结果194例患者中2例患者因出现腹膜破裂中转为经腹腔腹膜前疝修补术(TAPP)，2例患者术后出现阴囊血肿并发症；手术时间40~140 min，平均时间（94.26±15.02)min；住院时间5~8 d，平均住院时间（6.19±1.41)d。结论 TEP手术的关键在于如何准确地建立腹膜外间隙、分离疝囊、放置并固定补片等。

Experience in the Operation of Laparoscopic Total Abdominal Hernia Re-pair

Objective To analyze and discuss the difficulties and skills of laparoscopic total abdominal hernia repair (TEP). Methods Group selection the clinical data of 194 TEP patients admitted to our hospital from August 2010 to October 2015 were retrospectively analyzed. The operation difficulties encountered during operation and the corresponding surgical tech-niques were analyzed and summarized. Results 194 patients, 2 patients with peritoneal rupture transfer of transabdominal preperitoneal hernia repair (TAPP). 2 cases of patients with postoperative complications occurred in 2 cases of scrotal hematoma, hernia sac remnant hematoma. Operation time 40~140min, average time (94.26 ±15.02) min, length of stay in hospital 5~8d, average length of stay (6.19±1.41). Conclusion The key of TEP operation is how to set up the clearance of the peritoneum, separate the hernia sac, place and fix the patch and so on.