| 经脐单切口双通道腹腔镜手术治疗小儿鞘状突未闭的临床疗效 |
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| 引用本文： | 汪自力,王德娟,方友强,易炜,陈刚,邱剑光.经脐单切口双通道腹腔镜手术治疗小儿鞘状突未闭的临床疗效[J].中华腔镜泌尿外科杂志（电子版）,2011,5(1):25-27. |
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| 作者姓名： | 汪自力 王德娟 方友强 易炜 陈刚 邱剑光 |
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| 作者单位： | 1. 成都大学附属医院泌尿外科,成都,610081
2. 中山大学附属第三医院,广州,510630 |
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| 摘 要： | 目的探讨经脐单切口双通道腹腔镜手术治疗小儿腹股沟鞘状突未闭的临床价值。方法收治30例腹股沟鞘状突未闭男性患儿,其中斜疝18例,鞘膜积液12例;左侧17例,右侧13例。常规取脐上缘1.0cm弧形小切口,经切口两角分别置入5mm、3mm Trocar各一个,使用18号静脉留置针带线穿刺至腹膜与腹横肌层间隙,完全腹膜外环绕未闭内环口,并经留置针提线至腹壁皮下打结。结果所有手术均取得成功,术中未使用复合套管。术中发现对侧隐性鞘状突未闭11例;手术平均用时单侧8±3min,双侧15±5min,术后住院1～2d,所有患者术后随访时间中位数4个月（2～6个月）,未见斜疝及鞘膜积液复发,腹股沟、脐部切口未见明显瘢痕。结论该手术方法操作步骤简单,所需器材费用低,借助人体天然瘢痕来掩盖手术切口,美容效果满意,在小儿外科工作中有着重要的临床意义。
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| 关 键 词： | 单切口腹腔镜 斜疝 鞘膜积液 小儿 |
Trans-umbilicus laparoendoscopic single-site surgery with dual-port in treatment of open vaginal process in children |
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| Authors: | WANG Zi-li WANG De-juan FANG You-qiang YI Wei CHEN Gang QIU Jian-guang |
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| Institution: | WANG Zi-li*,WANG De-juan,FANG You-qiang,YI Wei,CHEN Gang,QIU Jian-guang.*Department of Urology,the Affiliated Hospital of Chengdu University,Chengdu 610081,China |
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| Abstract: | Objective To assess the efficacy of trans-umbilicus laparoendoscopic single-site surgery(LESS) with dual-port in treatment of open vaginal process in children.Methods 30 patients(left:17 patients,right:13 patients) with indirect inguinal hernia and the hydrocele were treated by trans-umbilicus LESS with dual-port.18 patients had indirect inguinal hernia,12 patients got hydrocele of tunica vaginalis.11 cases' contralateral patent process vaginalis were found intra-operative.A 1.0 cm curved incision was made ... |
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| Keywords: | LESS Indirect inguinal hernia hydrocele child |
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