中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (02): 162-163.

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免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术41例分析

翁山耕， 刘赵琪， 林春忠， 刘国忠， 石 铮   

  1. 福建医科大学附属第一医院微创外科，福建福州350005
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-03-03 发布日期:2009-03-03

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-03-03 Published:2009-03-03

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摘要：

目的 探讨免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术（TEP）的效果。方法 2006年8月至2008年8月福建医科大学附属第一医院微创外科对41例腹股沟疝病人行TEP。用镜头替代气囊分离器分离腹膜前间隙，用巴德3D补片无钉合固定。 结果 41例均在腔镜下顺利完成手术。手术时间 28～120 min, 平均（46±23.6）min, 发生腹股沟区血清肿3例，未发生其他并发症。随访3 ~24个月，无腹股沟疝复发。结论 免气囊分离无钉合TEP手术经济、安全可行, 具有创伤小、恢复快、疗效可靠、并发症少等优点。

关键词: 腔镜, 腹股沟疝, 完全腹膜外, 疝修补术, 补片

Abstract:

Totally extraperitoneal endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon : a report of 41 cases WENG Shan-geng , LIU Zhao-qi , LIN Chun-zhong ,et al. Department of Minimally invasive surgery , the First Affiliated Hospital of Fujian Medical University, Fuzhou 350000, China Corrsponding author：WENG Shan-geng , E-mail：shangeng@sina.com Abstract Objective To investigate the effect and the feasibility of totally extraperitoneal (TEP) endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon. Methods A total of 41 cases of reducible inguinal hernia underwent TEP dissected with the endoscope instead of a dissection balloon using a BARD 3D mesh without fixation from August 2006 to August 2008. Results The operation was successfully accomplished under the endoscopy in all the 41 cases. The operation time was 28-120 min ( 46±23.6 )min. After the operation, seroma occurred in 3 cases, and no other complications were found. The patients were followed up for 3-24 months, and no recurrence occurred. Conclusion It is feasible and safe to use an unfixed mesh in the TEP endoscopic inguinal hernia repair with few complications,soon recovery and confirmed efficacy without a dissection balloon.

Key words: endoscopy, inguinal hernia, totally extraperitoneal, herniorrhaphy, mesh