| 腹腔镜完全腹膜外疝修补术治疗双侧腹股沟疝的临床研究 |
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| 引用本文： | 刘祖军,卢榜裕,蔡小勇,陆文奇,江文枢.腹腔镜完全腹膜外疝修补术治疗双侧腹股沟疝的临床研究[J].微创医学,2008,3(6). |
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| 作者姓名： | 刘祖军 卢榜裕 蔡小勇 陆文奇 江文枢 |
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| 作者单位： | 广西医科大学第一附属医院微创外科,南宁,530007 |
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| 摘 要： | 目的 探讨腹腔镜完全腹膜外双侧腹股沟疝修补术的经验.方法 回顾性分析我科2002年10月至2007年5月收治的46例腹腔镜完全腹膜外双侧腹股沟疝修补术的病例资料,复习文献,总结经验.结果 本组46例病人,年龄49-81岁,平均65.2岁,疝的类型包括双侧直疝15例,一侧直疝另一侧斜疝5例,双侧斜疝26例,其中9例为复发疝,43倒完成腹腔镜完全腹膜外双侧腹股沟疝修补术,中转经腹腔腹膜前修补3例,完全腹膜外双侧腹股沟疝修补手术成功率93.48%.手术时间75-180min,平均96min.住院时问5-10 d.平均8.5 d.主要并发症为阴囊血清肿或血肿5例(10.87%),术后腹股沟区慢性疼痛1例(2.17%).膀胱损伤1例(2.17%).无手术死亡.随访6个月-5年.术后复发1例(2.17%).结论 腹腔镜完全腹膜外双侧腹股沟疝修补术安全,效果好,复发率低,值得推广应用.
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| 关 键 词： | 腹腔镜 双侧腹股沟疝 疝修补术 |
The clinical study of totally laparoscopic extraperitoneal herniorrhaphy on the bilateral hernia |
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| LIU Zu-jun,LU Bang-yu,CAI Xiao-yong,LU Wen-qi,JIANG Wen-shu.The clinical study of totally laparoscopic extraperitoneal herniorrhaphy on the bilateral hernia[J].Minimally Invasive Medicine Journal,2008,3(6). |
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| Authors: | LIU Zu-jun LU Bang-yu CAI Xiao-yong LU Wen-qi JIANG Wen-shu |
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| Institution: | LIU Zu-jun,LU Bang-yu,CAI Xiao-yong,LU Wei-qi,JIANG Wei-shu(Center of Minimally Invasive Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530007,China) |
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| Abstract: | Objective To study on the clinical experience of Totally Laparoscopic Extraperitoneal Herniorrhaphy on 46 cases with bilateral inguinal hernia.Methods A retrospective study was carried out on 46 patients with bilateral inguinal hernia who were performed Totally Laparoscopic Extraperitoneal Herniorrhaphy during October 2002 to May 2007.The clinical data of these patients was analyzed.Results 46 patients who were 49-81 ages(mean ages was 65.2),including 15 were bilateral direct hernia and 26 bilateral indirec... |
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| Keywords: | Laparoscopy Bilateral inguinal hernia Herniorrhaphy |
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