经脐单孔腹腔镜内环口结扎术治疗小儿腹股沟疝及鞘膜积液的探讨

目的探讨经脐单孔腹腔镜内环口结扎术（即疝囊或鞘突高位结扎术）治疗小儿腹股沟斜疝及鞘膜积液的临床应用价值。方法回顾性分析118例（140侧）经脐单孔腹腔镜内环口结扎术治疗小儿斜疝和鞘膜积液的临床资料。结果经脐单孔法内环口疝囊及鞘突高位结扎术治疗小儿斜疝76例（94侧），鞘膜积液42例（56侧）。118例手术均获成功，术中发现对侧隐性疝20例，交通性鞘膜积液16例，单侧平均手术时间15min，双侧平均手术时间28min。术后平均住院时间1．5d，无并发症，随访1—10个月，无一例复发。结论经脐单孔腹腔镜内环口结扎法治疗小儿腹股沟斜疝及鞘膜积液安全、有效，损伤小，痛苦少，康复快，无明显手术瘢痕、复发率低，值得临床推广应用。

The single port laparoscopic techniques for inguinal hernia and hydrocele in children.

Objetive To investigate the clinical value of the single port laparoscopic techiniques for in- guinal hernia and hydrocele in children. Methods From Jan 2011 to Jun 2012, one hundred - eighteen chil- dren （76 chidren with inguinal hernia and 42 children with hydrocele） underwent the single port laparoscopic ligation of internal ring. Results All of children underwent this operation successfully. The mean duration of surgery was 15 minutes in children with unilateral lesion, and the mean time required for surgery was 28 mi- nutes in children with bilateral lesions. The average hospital stay period after surgery was 1 ： 5 days. All the pa- tients had been followed up and no recurrence. Conclusions The single port laparoscopic ,techniques for in- guinal hernia and hydrocele in children is safe and effective.