经脐双通道腹腔镜手术治疗小儿腹股沟斜疝的体会

目的:探讨经脐单孔双通道腹腔镜手术治疗小儿腹股沟斜疝的应用价值。方法:采用经脐单孔双通道行腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝36例。结果:36例均顺利完成手术,手术时间平均10～15 min,术后平均住院2 d。术后随访1～6个月,均无并发症发生及复发病例。结论:经脐单孔双通道腹腔镜手术治疗小儿腹股沟斜疝安全可行,创伤更小,真正做到腹壁无瘢痕,疝囊结扎更确切,避免了皮下线结异物感,值得推广应用。

Trans-umbilicus laparoscopic double-port hernioplasty in treatment of pediatric indirect inguinal hernia

Objective:To explore the clinical value of trans-umbilicus laparoscopic double-port hernioplasty in treatment of pediatric indirect inguinal hernia.Methods:The 36 pediatric patients with indirect hernia were treated by laparoscopic double-port hernioplasty.Results:All operations were performed successfully.The average operative time was 10-15 min.The mean postoperative hospitalization was 2 d.No complications or recurrence were recorded during the period of follow-up from 1 to 6 months.Conclusions:Trans-umbilicus laparoscopic double-port hernioplasty for pediatric indirect inguinal hernia is safe and feasible.It has advantages of less invasion,no scar on abdominal wall and no subcutaneous foreign body sensation.It can be used widely in clinic.