| 腹腔镜腹股沟疝修补术704例分析 |
| |
| 引用本文： | 邱明远,李健文,郑民华,王明亮,陆爱国,胡伟国,毛志海. 腹腔镜腹股沟疝修补术704例分析[J]. 外科理论与实践, 2008, 13(6) |
| |
| 作者姓名： | 邱明远 李健文 郑民华 王明亮 陆爱国 胡伟国 毛志海 |
| |
| 作者单位： | 上海交通大学医学院附属瑞金医院外科,上海市微创外科临床医学中心,上海,200025 |
| |
| 摘 要： | 目的:评价腹腔镜腹股沟疝修补术(LIHR)的安全性和有效性,并探讨术式选择.方法:分析1997年1月至2008年9月行腹腔镜腹股沟疝修补术的704例(825侧)病人的临床资料,其中腹腔内补片修补术(IPOM)4例(4侧),经腹腹膜前修补术(TAPP)330例(384侧),全腹膜外修补术(TEP)370例(437侧).随访时间1～60个月(中位时间18个月).结果:手术无中转,平均手术时间为(32.5±15.2)(20～140)min,术后平均住院天数为(2.5±1.3)d,2周和4周内恢复非限制性活动人数比率分别为98.3%(692/704)和100%(704/704),术后无需应用镇痛剂.术后总复发率为0.48%(4/825),3侧为TAPP术后复发(0.78%),1侧为TEP术后复发(0.23%)(P=0.527).TAPP和TEP的总并发症率分别为11.7%和9.15%(P=0.229);两组前3位并发症依次为血清肿(5.73%比4.58%,P=0.455),暂时性神经感觉异常(3.13%比2.06%,P=0.335)和尿潴留(2.34%比2.06%,P=0.781).其余4例并发症为:TAPP组有1例戳孔疝和1例麻痹性肠梗阻,TEP组有1例肠道损伤和1例麻痹性肠梗阻.Ⅲ、Ⅳ型疝的血清肿发生率明显高于Ⅰ、Ⅱ型疝(P=0.005).结论:LIHR是安全有效的无张力修补方法,手术效果以及术式选择取决于疝的类型及术者的临床经验.
|
| 关 键 词： | 疝修补术,腹腔镜 疝,腹股沟 方法 |
Laparoscopic inguinal hernia repair(a report of 704 cases) |
| |
| QIU Ming-yuan,LI Jian-wen,ZHENG Min-hua,WANG Ming-liang,LU Ai-guo,HU Wei-guo,MAO Zhi-hai. Laparoscopic inguinal hernia repair(a report of 704 cases)[J]. Journal of Surgery Concepts & Practice, 2008, 13(6) |
| |
| Authors: | QIU Ming-yuan LI Jian-wen ZHENG Min-hua WANG Ming-liang LU Ai-guo HU Wei-guo MAO Zhi-hai |
| |
| Affiliation: | QIU Ming-yuan,LI Jian-wen,ZHENG Min-hua,WANG Ming-liang,LU Ai-guo,HU Wei-guo,MAO Zhi-hai.Department of Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai Clinical Minimally Invasive Surgery Center,Shanghai 200025,China |
| |
| Abstract: | Objective To evaluate the safety and efficacy of laparoscopic inguinal hernia repair(LIHR),and the choice of technique to be used.Methods The clinical data from 704 patients(825 hernias) undergoing LIHR from January 1997 to September 2008 were retrospectively analyzed.The intraperitoneal onlay mesh(IPOM) procedure was performed in 4 patients(4 hernias),The transabdominal preperitoneal(TAPP) procedure in 330 patients(384 hernias),and totally extraperitoneal(TEP) procedure in 370 patients(437 hernias).The fol... |
| |
| Keywords: | Hernia repair laparoscopy Hernia inguinal Methods |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
