中国实用外科杂志

中国实用外科杂志

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腹腔镜下腹壁切口疝修补术41例疗效分析

谢佳明，吴浩荣，谷春伟，徐    燕   

  1. 苏州大学附属第二医院普外科，江苏苏州215004
  • 发布日期:2012-05-28

  • Published:2012-05-28

摘要：

目的    评价腹腔镜下腹壁切口疝修补术的长、短期疗效。 方法    回顾性分析2006年3月至2011年7月苏州大学附属第二医院普外科41例行腹腔镜下腹壁切口疝修补术的临床资料。 结果    41例切口疝均在腹腔镜下完成修补，手术时间45~150 min，平均60 min，术后住院时间3~16 d，平均6 d，术后随访2~65个月，平均25.6个月。发生血清肿4例，术后疼痛8例（术后3~6周缓解），补片感染1例，复发2例。 结论    腹腔镜腹壁切口疝修补术具有创伤小、恢复快、并发症少及复发率低等优点，是一种安全有效的手术方式。

关键词: 切口疝, 腹腔镜, 疝修补术

Abstract:

Outcomes of laparoscopic incisional hernia repair        XIE Jia-ming, WU Hao-rong, GU Chun-wei, et al. Department of General Surgery, the 2nd Affiliated Hospital of Soochow University, Suzhou 215004，China
Corresponding author：WU Hao-rong, E-mail:wuhaorong@vip.sina.com
Abstract    Objective    To evaluate the short-term and long-term outcomes of the laparoscopic incisional hernia repair. Methods    The clinical and follow-up data of 41 cases of laparoscopic incisional hernia repair performed from March 2006 to July 2011 at the 2nd Affiliated Hospital of Soochow University were analyzed retrospectively. Results    All cases were performed by laparoscopy successfully with a mean operation time of 60 mins (45 to 150 mins) and a mean time of postoperative hospital-stay of 6 days (3 to 16days). All cases were followed up 25.6 months averagely (2 to 65 months). Seroma occurred in 4 cases. Eight cases had abdominal pain and most of the pain could be alleviated in 3-6 weeks. One case had mesh related infection and 2 cases recurred.  Conclusion    The laparoscopic incisional hernia repair is a safe and effective technique with the advantages of minor injury, quicker recovery, fewer complications and lower recurrences.

Key words: incisional hernia, laparoscopy, hernia repair