摘要
目的探讨腹腔镜下阑尾切除术(laparoscopic appendectomy,LA)同期行经腹膜前腹股沟疝修补术(transabdominal preperitoneal repair,TAPP)的临床可行性及安全性。方法选取急性阑尾炎合并腹股沟疝患者13例,均采用LA联合TAPP,并将加速康复外科的理念用于指导围手术期患者的管理,观察患者术后恢复情况、术后近期并发症(尿潴留、早期炎症性肠梗阻、出血、阑尾残端炎、切口感染等)以及术后1年腹股沟疝复发率。结果 13例患者均顺利完成手术,无切口感染、疝补片感染、腹股沟疝复发等并发症发生,术后出现尿潴留1例,早期炎症性肠梗阻1例,经治疗后均顺利出院。结论急性阑尾炎合并腹股沟疝患者,病例选择合适,术中处理得当,行LA联合TAPP治疗是安全可行的。
Objective To investigate the clinical feasibility and safety of laparoscopic appendectomy (LA) combined with Transabdominal preperitoneal repair(TAPP) at the same time. Methods Totally 13 patients with acute appendicitis and inguinal hernia in our department were enrolled in this study.All of them were treated with LA combined with TAPP surgery.The concept of enhanced recovery after surgery was applied to guide the perioperative management,and then,postoperative recovery and the incidence rate of recent postoperative complications including urinary retention,early inflammatory bowel obstruction,bleeding,residual appendicitis,incision infection,and inguinal hernia recurrence one year after surgery were observed. Results All the 13 patients successfully completed the operation.All the patients had no complications after surgery such as incision infection,hernia patch infection,and inguinal hernia recurrence.Only 1 patient had postoperative urinary retention,and 1 patient had early inflammatory bowel obstruction,both of them successfully discharged after treatment. Conclusion The surgery LA combined with TAPP is feasible and safe for strict selected patients who have both acute appendicitis and inguinal hernia.
作者
李超
汪宏
刘玉海
李海文
戴夫
LI Chao;WANG Hong;LIU Yu-hai;LI Hai-wen;DAI Fu(Department of Minimally Invasive Surgery,Binhu Hospital,the First People′s Hospital of Hefei,Anhui Province,Hefei 230022,China)
出处
《河北医科大学学报》
CAS
2019年第7期799-802,共4页
Journal of Hebei Medical University
基金
安徽省公益性技术应用研究联动计划(1604f0804036)
关键词
阑尾炎
疝
腹股沟
腹腔镜检查
appendicitis
hernia,inguinal
laparoscopy
