腹腔镜经腹腹膜前腹股沟疝修补术在广东基层医院应用体会

【摘要】 目的 总结腹腔镜经腹腹膜前腹股沟疝修补术在广东基层医院应用的经验和体会。方法〓回顾分析2011年1月至2013年6月间腹股沟疝患者共385例,根据已完成手术分分腹腔镜组(n=178)和开放组(n=207),腹腔镜组行腹腔镜经腹腹膜前腹股沟疝修补术,开放组行Lichtenstein修补术。对比两组患者手术时间、平均住院时间、住院费用、正常活动平均恢复时间以及术后并发症等指标。结果〓腹腔镜组平均住院费用高,但恢复正常活动时间短、住院时间短、术后疼痛少以及术后阴囊水肿发生少;腔镜组有5例患者中转开放手术,平均手术时间腔镜组略长于开放组。结论〓腹腔镜腹股沟疝修补术后患者较开放组恢复快、痛苦少,但需要全麻且费用较高,基层医院可选择性实施。

Application of laparoscopic transabdominal preperitoneal inguinal hernia repair in primary hospital of Guangdong

【Abstract】 Objective To investigate the clinical application and effect of laparoscopic transabdominal preperitoneal inguinal hernia (TAPP) repair in primary hospital. Methods〓385 patients with inguinal hernia from January 2011 to June 2013 were divided into two groups, laparoscopy group (n=178) and open operation group(n=207) according to the surgical approach. Operating time, hospital stay, medical costs, recovery of daily life and postoperative complications were compared between two groups. Results〓Laparoscopy group showed higher medical costs than open group, but had faster recovery of daily activities and less postoperative complications after TAPP. Five cases were transferred to open operation. Conclusion〓TAPP procedure has an advantage of less postoperative complications and faster recovery. For experienced primary hospital, laparoscopic TAPP can be applied.