摘要
目的:探讨腹腔镜探查术治疗腹股沟嵌顿疝的应用及临床效果.方法:回顾性分析2010-09/2014-02武汉市第一医院胃肠外科收治的48例腹股沟嵌顿疝行腹腔镜探查患者的临床资料.结果:40例完成腹腔镜下手术,并行腹腔镜经腹腹膜前疝修补术(transabdominal preperitoneal prosthetic,TAPP),8例中转开腹手术,其中6例小切口辅助行小肠部分切除+疝环高位结扎术,1例行部分乙状结肠切除+降结肠造瘘术,1例行右半结肠切除术.行TAPP术者,手术时间为35-110 min(56.5 min±16.2min),住院时间为3-12 d(4.8 d±2.4 d).术后阴囊及腹股沟区血清肿发生5/40例,排尿困难发生2/40例,无补片感染、肠梗阻、无二次手术探查等严重并发症发生,行TAPP术患者均获得随访,随访时间为12-55 mo(26.3 mo±12.6 mo),无复发.结论:对于腹股沟嵌顿疝急诊患者的治疗,使用腹腔镜技术探查,并对部分患者行腹腔镜TAPP术具有创伤小、并发症少等优势,但应严格把握好适应证.
AIM： To explore the application and clinical effects of laparoscopic exploration for incarceratedinguinal hernia.METHODS： Clinical data for 48 patients with incarcerated inguinal hernia who underwent laparoscopic exploration from September 2010 to February 2014 at Department of Gastrointestinal Surgery, Wuhan First Hospital were retrospectively analyzed.RESULTS： Transabdominal preperitoneal prosthesis（TAPP） was completed successfully in 40 cases, and 8 cases were converted to open surgery, of which 6 underwent partial enterectomy, 1 underwent sigmoidectomy and colostomy, and 1 under went right hemicolectomy. The mean operation time of TAPP was 56.5 min ± 16.2 min（range, 35-110 min） and the hospital stay was 4.8 d ± 2.4 d（3-12 d）. The rates of hydrocele and urinary retention were 12.5%（5/40） and 5%（2/40）, respectively. There were no complications such as incision infection, intestinal obstruction or secondary operation. The cases who accepted TAPP were followed for 12-55 months（mean, 26.3 mo ± 12.6 mo） with no recurrence observed.CONCLUSION： Laparoscopic exploration for incarcerated inguinal hernia has advantages of minimal invasion and few complications, but doctors should strictly follow the indications.
出处
《世界华人消化杂志》
CAS
2016年第1期153-157,共5页
World Chinese Journal of Digestology
关键词
腹腔镜探查
腹股沟嵌顿疝
腹腔镜经腹腹膜前疝修补术
Laparoscopic exploration
Incarcerated inguinal hernia
Transabdominal preperitoneal prosthesis
