经脐单部位腹腔镜下内环口缝合术治疗小儿腹股沟斜疝336例

目的探讨经脐单部位腹腔镜下内环口缝合术治疗小儿腹股沟斜疝的可行性。方法回顾性分析2012年1月至12月，经脐单部位腹腔镜下内环口缝合术治疗小儿腹股沟斜疝的336例患儿的临床资料，其中男302例，女34例，平均年龄3．76岁。术前单侧308例（其中3例为传统切开手术后复发病例），双侧疝28例，110例术中发现对侧隐匿性疝。结果所有患者均在腹腔镜下完成手术，无中转传统腹腔镜和开放手术。手术时间5～30min，术中无明显出血，无肠管、输精管及精索损伤。术后第1天出院，无阴囊血肿、水肿发生。随访1—12个月，2例患儿复发，均行开放手术。结论经脐单部位腹腔镜下内环口缝合术安全，疗效确切，创伤小，切口外观美观。

Analysis of transumbilical single-site laparoscopic closure of the internal ring in the treatment of 336 children with inguinal hernia

Objective To explore the feasibility of transumbilical single-site laparoscopic closure of the internal ring for inguinal hernia in children. Methods Retrospetive analysis of clinical data of 336 children with inguinal hernia in the Shanxi children＇s hospital between Janururary 2012 to December 2012, 302 cases were male and female 34 cases. The average age is 3.76 years old. Preoperatively,308 cases are unilateral inguinal hernia （3 cases recurred after conventional approach） ,28 cases bilateral hernia,and 110 cases were found contralateral inguinal hernia. Results None of the patients were underwent conversion from single-site laparoscpy to open approach or conventional laparoscopy.The operational time was 5-30 minutes, without injury of intestine, spermatic cord or spermatic duct. The patients were discharged the day after operation.No obvious postoperative bleeding, hematoma of scrotum, or incisional infection occurred.Follow-up for 1 to 12 months showed that Two cases recurred,cured with open technique. Conclusions Transumbilical single-site laparoscopic closure of the internal ring is a reliable, safe, feasible, and cosmetic herniorrhaphy for inguinal hernia in children.