腹腔镜治疗儿童嵌顿性腹股沟斜疝的临床疗效

目的：观察腹腔镜治疗儿童嵌顿性腹股沟斜疝的安全性及有效性。方法回顾性分析2009年1月至2013年11月，佛山市第一人民医院行腹腔镜治疗的儿童嵌顿疝患者的临床资料。结果63例患者行腹腔镜探查治疗，麻醉后自行复位5例，58例麻醉下手法复位，其中中转开腹6例（9．52％）。手术时间10∽200 min，平均（45．7±35．9）min，出血量1∽5 ml，平均（1．5±1．0）ml，住院时间1∽15 d，平均（4．5±2．2）d。随访1∽48个月，无复发。结论腹腔镜治疗儿童嵌顿疝不但能清楚地观察疝内容物有无绞窄，而且处理较传统手术简单安全，并发症少，值得临床推广。

Laparoscopic repair of incarcerated indirect inguinal hernia in children

Objective To investigate the safety and effectiveness of laparoscopic repair of incarcerated indirect inguinal hernia in children.Methods A retrospective analysis was done based on the clinical data of the patients who had undergone laparoscopic repair of incarcerated inguinal hernia in the First People′s Hospital of Foshan from January 2009 to November 201 3.Results 63 patients received the laparoscopic exploration,5 of them reduced spontaneously after anesthesia,58 of them had the reduction with the help of external manual pressure,6 patients were converted to open operation（9.52%）.The operation time was 1 0 to 200 minutes （mean 45 .7 ±35 .9 minutes）,the intraoperative blood loss was 1 to 5 ml （mean 1 .5 ±1 .0 ml）,and the length of hospital stay was 1 to1 5 days （an average of 4.5 ±2.2 days）.All of the patients were followed up for 1 month to 48months and no recurrence was found.Conclusions Whether the hernia conents are strangulated or not could be clearly observed under laparoscopy.Compared to the traditional operation,laparoscopic repair of incarcerated indirect inguinal in children is more simple,safer, and less complications.