| 改良完全腹膜外腹腔镜疝修补术31例报告 |
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| 引用本文： | 周保军,宋伟庆,阎庆辉,蔡建辉,王凤安,张玉印. 改良完全腹膜外腹腔镜疝修补术31例报告[J]. 中国微创外科杂志, 2008, 8(5): 408-410 |
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| 作者姓名： | 周保军 宋伟庆 阎庆辉 蔡建辉 王凤安 张玉印 |
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| 作者单位： | 河北医科大学第二医院胃肠外科,石家庄,050000 |
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| 摘 要： | 目的评价改良的完全腹膜外腹腔镜疝修补(totally extraperitoneal laparoscopic hernia repair,TEP)手术方法的可行性和安全性。方法2007年1月~8月,在全麻下行改良TEP31例。用一次性吸引器头的塑料外套管对手术区域的腹膜前间隙进行初步分离,再将国产单腔气囊导管小心置入腹膜外间隙,充气扩张建立腹膜外间隙。术中不固定补片。结果手术全部成功,手术时间(69.8±21.8)min,术中出血量(7.6±4.2)ml,术后住院时间(2.6±1.3)d。术中腹膜破裂5例,术后阴囊积液2例,无其他手术并发症。31例随访1~7个月,(4.2±2.4)月,未见复发及腹股沟区慢性疼痛等并发症。结论改良TEP是一种安全可行的无张力疝修补技术,腹股沟区慢性疼痛症状少。
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| 关 键 词： | 腹腔镜 腹股沟疝 完全腹膜外腹腔镜疝修补术 |
| 文章编号： | 1009-6604(2008)05-0408-03 |
| 修稿时间： | 2007-09-24 |
Modified Laparoscopic Totally Extraperitoneal Hernia Repair: Report of 31 Cases |
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| Affiliation: | Zhou Baojun; Song Weiqing; Yan Qinghui; et al.Department of Gastrointestinal Surgery; Second Hospital of Hebei Medical University; Shijiazhuang 050000; China; |
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| Abstract: | Objective To assess the feasibility and safety of modified laparoscopic totally extraperitoneal(TEP)hernia repair.Methods From January to August 2007,a total of 31 patients with hernia were treated with modified TEP hernia repair under general anesthesia in our hospital.During the operation,the anterior peritoneal space was separated,and then a domestic single balloon catheter was inserted into the extraperitoneal space to expand the latter.The mesh was not fixed during the operation.Results All the operati... |
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| Keywords: | Laparascope Inguinal hernia Totally extraperitoneal laparoscopic hernia repair |
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