中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (09): 790-792.

• 论著 • 上一篇    下一篇

单孔腹腔镜下全腹膜外腹股沟疝修补术20例报告

丁    锐，姚琪远，陈    浩，花    荣，何    凯，武    振   

  1. 复旦大学附属华山医院外科，上海 200040
  • 出版日期:2010-09-01 发布日期:2010-09-01

  • Online:2010-09-01 Published:2010-09-01

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摘要：

目的    探讨单孔腹腔镜下全腹膜外腹股沟疝修补术的可行性和应用前景。方法    2009年11月至2010年2月，复旦大学附属华山医院应用10cm×15cm聚丙烯网片行单孔腹腔镜下完全腹膜外腹股沟疝修补术（totally extraperitoneal approach，TEP）20例（单孔组），与同期的三孔TEP 25例（三孔组）进行比较分析。结果    平均手术时间：单孔组（65.3±22.8）min，三孔组（47.4±14.9）min。两组各发生2例并发症。术后单孔组平均住院时间（2.0±1.1）d，三孔组（1.5±0.8）d。均无复发病例。结论     选择合适的病例开展单孔TEP手术是安全、可行的。

关键词: 腹股沟疝, 疝修补术, 单孔腔镜手术, 全腹膜外腹股沟疝修补术

Abstract:

Primary experience in single incision totally extraperitoneal approach for inguinal hernia repair        DING Rui, YAO Qi-Yuan,CHEN Hao, et al. Department of Surgery, Huashan Hospital, Fudan University, Shanghai 200040,China
Corresponding author: YAO Qi-Yuan,E-mail: stevenyao@hernia.org.cn
Abstract    Objective    Analysis the value of single incision totally extraperitoneal approach for inguinal hernia repair. Methods    During the time of Nov 2009 to Feb 2010，20 cases of inguinal hernia were repaired by single incision totally extraperitoneal approach(SITEP) with polyethylene mesh(10cm×15cm). At the same time, 25 groin hernia patients  were repaired by TEP approach. Operative time, hospital time, recurrence rates and complications were analyzed. Results    The average operating time was (65.3±22.8)min (SITEP group) vs (47.4±14.9)min(TEP group), Mean postoperative hospital stay time was (2.0±1.1) days (SITEP group) vs( 1.5±0.8) days(TEP group), there were two cases with complications in each group. No recurrent case occurred. Conclusion    SITEP approach with polyethylene mesh is safe and eligeable.

Key words:  inguinal hernia, herniorrhaphy, laparoendoscopic single site surgery（LESS）;totally extraperitoneal approach