摘要
目的探讨单孔微型腹腔镜治疗小儿腹股沟疝的疗效。方法 2006年6月～2011年2月使用3 mm微型腹腔镜,于脐部做一4 mm切口,置入4 mm trocar作为观察孔,采用将硬膜外穿刺针自制成内芯有倒钩的疝钩针治疗小儿腹股沟疝368例。结果 368例手术均成功,手术时间5～35 min,平均7 min。术后住院1～2 d,平均1.5 d。无并发症。100例随访6～24个月,平均12个月2,例分别于术后13、个月复发,再次行腹腔镜手术治愈,术后无明显瘢痕。结论单孔微型腹腔镜治疗小儿腹股沟疝安全、有效,并发症少,术后无明显瘢痕。
Objective To aeeess single-hole mini laparoscopic treatment for inguinal hernia in children. Methods A 3- mm mini laparoseope was employed. Through a 4-ram umbilical incision, we placed a 4-ram trncar as an observational hole, and then with an epidural puncture needle as a hernia Crochet with an inner core with a barb, we performed laparoseopic high ligation for 386 children with inguinal hernia. Results The procedure was completed in all the eases within a mean of7 rain （5 -35 min）. The patients were discharged from our hospital in 1 -2 days after the surgery （mean, 1.5 days）. No complications occurred. Among the patients, tollow-up h）r a mean of 12 months （6 -24 months） were achieved in 100 cases; two of them had recurrent hernia at I and 3 months respectively, and then were both cured by a second laparoscopie surgery. No uhvions postoperative scars were complained in our patients. Conclusion Single-hole mini laparoscopy is safe and effective for pediatric inguinal hernia with good cosmetic resuhs and few complications.
出处
《中国微创外科杂志》
CSCD
2012年第2期173-174,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
微型腹腔镜
腹股沟疝
小儿
Mini laparoseopy
Inguinal hernia
Children
