| TEP术中导致腹膜破裂的原因和处理 |
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| 引用本文： | 周建平,徐飞,梁文丰,汤治平. TEP术中导致腹膜破裂的原因和处理[J]. 岭南现代临床外科, 2021, 21(3): 321-324. DOI: 10.3969/j.issn.1009-976X.2021.03.014 |
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| 作者姓名： | 周建平 徐飞 梁文丰 汤治平 |
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| 作者单位： | 南方医科大学附属中山市博爱医院普外科,广东中山528403 |
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| 基金项目： | 广东省医学科学研究基金项目（B2017126） |
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| 摘 要： | 目的 探讨腹腔镜下腹膜外腹股沟疝修补术(TEP)手术中腹膜破裂后处理对策.方法 回顾分析2015年1月～2020年1月在我院腹股沟疝行TEP手术的所有病例,总结TEP手术中腹膜破裂的原因、裂口的大小、位置及处理对策.比较同期病例腹股沟疝修补术中腹膜破裂和完整的患者手术时间、中转术式、手术并发症、住院时间的差异.结果 本...
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| 关 键 词： | 腹腔镜 腹股沟斜疝 腹膜破裂 并发症 |
| 收稿时间： | 2020-12-05 |
Treatment of peritoneal tears during laparoscopic extraperitoneal inguinal hernia repair |
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| ZHOU Jian-ping,XU Fei,LIANG Wen-feng,TANG Zhi-ping. Treatment of peritoneal tears during laparoscopic extraperitoneal inguinal hernia repair[J]. Lingnan Modern Clinics in Surgery, 2021, 21(3): 321-324. DOI: 10.3969/j.issn.1009-976X.2021.03.014 |
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| Authors: | ZHOU Jian-ping XU Fei LIANG Wen-feng TANG Zhi-ping |
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| Affiliation: | Department of General Surgery, Boai Hospital of Zhongshan, Southern Medical University, Zhongshan, Guangdong 528403, China |
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| Abstract: | Objective To explore the management for peritoneal tears during laparoscopic extraperitoneal inguinal hernia repair （TEP）. Methods A retrospective analysis was performed in 141 cases with TEP surgery from January 2015 to January 2020, to analyze the causes of peritoneal rupture during TEP surgery, the size and location, and the management. The operation time, transfer procedure, surgical complications, and hospital stay were compared between patients with and without peritoneal tears during inguinal hernia repair in the same period. Results Among the 141 cases of TEP surgery in this group, 58 cases had intact peritoneum without rupture, 83 cases had peritoneal tears, and 2 cases were transferred to TAPP. The operation time of patients in the peritoneal rupture group was 42.34±13.52 min, and the operation time of patients in the peritoneal tears group was 57.13±18.38 （P<0.01）. Postoperative seroma, postoperative umbilical incision redness and swelling, local pain, hospitalization days, surgical complications were no significant statistical differences follow-up 6 to 24 months. The patient has no special discomfort, and resumed normal work and life. Conclusion The peritoneal tears during TEP operation will collapsing preperitoneal space and prolong the anesthesia and operation time. In addition to the patient′s own condition, it is also related to the operator′s operating experience, but does not increase surgical and hospital stay. |
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| Keywords: | peritoneal tears extraperitoneal inguinal hernia repair （TEP） complications |
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