摘要
目的：总结腹腔镜腹股沟疝修补术的学习体会。方法：回顾分析为262例患者行腹腔镜疝修补术的临床资料，其中125例行经腹腹膜前疝修补术（transabdominal preperitoneal，TAPP），137例行全腹膜外疝修补术（totally extraperitoneal，TEP）。结果：262例均成功完成手术，无一例中转开腹。手术时间40～120min，术后3～5d出院，无出血、感染、肠粘连等并发症发生。随访6个月～4年无复发。将学习过程分为两个阶段，2008年3月至2010年6月共行TAPP58例、TEP6例；后行TAPP67例、TEP131例。在TAPP的基础上，TEP逐渐增多。结论：在TAPP的基础上开展TEP是积极、稳妥的选择，丰富了腹腔镜疝手术的选择，提高了手术成功率。熟练掌握TAPP利于TEP的开展。
Objective：To sum up the experience of laparoscopic inguinal hernia repair （LIHR）. Methods：The clinical data of 262 patients who underwent LIHR were retrospectively analyzed. There were 125 transabdominal preperitoneal （TAPP） cases and 137 totally extraperitoneal （TEP） cases. Results： Operations were successfully done to all cases. The operation time ranged from 40 to 120 rain. The postoperative hospital stay was 3-5 d. No hemorrhage,infection or intestinal adhesion were found after the operations. Post- operative follow-up ranged from 6 to 48 months,no one case of inguinal hernia relapsed. In the first half,58 cases of TAPP and 6 cases of TEP were performed during Mar. 2008 and Jun. 2010. While in the second half,67 cases of TAPP and 131 cases of TEP were pel~ formed. Conclusions：On the basis of TAPP, TEP is a positive and safe procedure,which enriches the choice of LIHR and increases op- erative success rate. TAPP can pave a safe way for the TEP.
出处
《腹腔镜外科杂志》
2014年第1期42-43,共2页
Journal of Laparoscopic Surgery
