摘要
目的总结腹腔镜经腹腹膜前疝修补术(TAPP)的临床经验。方法回顾性分析2016年11月~2019年11月我院102例腹股沟疝住院行腹腔镜经腹腹膜前疝修补术(TAPP)病人的临床资料。结果 102例TAPP均顺利完成,无中转开放手术。手术时间(46.87±4.94)分钟,术中出血量(5.4±1.64)ml,术后住院时间(4.18±1.09)天;术后使用镇痛药18例(17.65%),疼痛评分(0.93±1.53)分,腹壁切口满意度评分(4.58±0.62)分;术后随访6~42个月,均恢复良好,无复发。8例术后并发腹股沟血清肿,占7.8%,经处理后缓解。无长期慢性疼痛、补片感染、切口感染、肠梗阻等严重并发症。TAPP穿刺点瘢痕小,切口满意度高,术后疼痛程度低,术后住院时间短。结论 TAPP治疗腹股沟疝,微创,安全有效,无明显瘢痕。
Objective To summarize the clinical experience of laparoscopic transabdominal preperitoneal hernia repair(TAPP).Methods Retrospective analysis was made on the clinical data of 102 inpatients with inguinal hernia who underwent laparoscopic transabdominal preperitoneal hernia repair(TAPP) in the first ward of general Surgery department, the First Affiliated Hospital of Baotou Medical College from November 2016 to November 2019.Results All the 102 cases of TAPP were successfully completed without transferring to open surgery.The operative time was(46.87±4.94)min, the intraoperative blood loss was(5.4±1.64)ml, and the postoperative hospital stay was(4.18±1.09)d.Postoperative analgesics were used in 18 patients(17.65%),with pain score(0.93±1.53) and abdominal incision satisfaction score(4.58±0.62).Postoperative follow-up(6~42 months) showed good recovery and no recurrence.8 cases of postoperative inguinal seroma, accounting for 7.8%,were relieved after treatment.There were no long-term chronic pain, mesh infection, incision infection, intestinal obstruction and other serious complications.TAPP puncture site has small scar, high incision satisfaction, low postoperative pain, and short postoperative hospital stay.Conclusion Laparoscopic transabdominal preperitoneal hernia repair(TAPP) in the treatment of inguinal hernia is minimally invasive, safe and effective, without obvious scar and other characteristics, is one of the reliable clinical treatment options for inguinal hernia.
作者
刘景平
万智恒
李瑞斌
LIU Jingping;WAN Zhiheng;LI Ruibin(Department of General Surgery,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia,Baotou 014010,China)
出处
《临床外科杂志》
2021年第2期158-160,共3页
Journal of Clinical Surgery
基金
内蒙古包头市社会发展科技支撑资助项目(2016X1030-3-2)。
