腹腔镜下经腹腔腹膜前补片疝修补术和开放无张力疝修补术的临床对比分析

目的探讨腹腔镜下经腹腔腹膜前补片疝修补术（TAPP）治疗腹股沟疝的有效性及优越性。方法对2004年10月至2009年12月我科施行的60例TAPP和108例开放无张力疝修补术患者的临床资料进行回顾性对比分析，比较两组手术时间、术后住院时间、并发症和复发率。结果腹腔镜组60例疝修补术均成功完成，无中转开腹，平均手术时间为（49±11）min，开放组平均手术时间为（48±10）min，两组手术时间差异无统计学意义（P〉0．05）；腹腔镜组术后留院平均为（2．9±0．9）d，开放组平均为（4．4±1．2）d，两组差异有统计学意义（P〈0．001）；腹腔镜组住院费用多于开放组，两组差异有统计学意义（P〈0．001）；两组并发症发生率无显著差异（P〉0．05）；随访6—48个月，腹腔镜组无复发，开放组有1例复发。结论TAPP是一种安全可靠的腹股沟疝手术治疗方法，具有创伤小、疼痛轻、恢复快、操作简单、住院时间短、复发率低等优势，特别适于复发疝、双侧疝等，值得推广。

Comparative Analysis of Transabdominal Preperitonea1 Laparoscopic Inguinal Herniorrhaphy with Open Tension-Free Herniorrhaphy

Objective To study the superiority and efficiency of transabdominal preperitonea1 laparoscopic inguinal herniorrhaphy.Methods Sixty cases of laparoscopic inguinal hernioplasty with transabdominal preperitoneal(TAPP) and 108 cases of open inguinal hernioplasty(OIHP) with tension-free were performed from October 2004 to December 2009.Perioperative data and follow-up results were collected and compared in two groups.Results Sixty cases were received TAPP successfully,average operation time of TAPP group was(49...