Abstract:

Treatment of large incisional hernia with endoscopic component separation technique        GU Yan, YANG Jian-jun, SONG Zhi-cheng. Hernia and Abdominal Wall Disease Center，Shanghai Jiao Tong University; Department of General Surgery，Shanghai Ninth People’s Hospital，Shanghai Jiao Tong University School of Medicine，Shanghai 200011，China
Corresponding author：GU Yan，E-mail：yangu@sjtu.edu.cn
Abstract    Treatment of large incisional hernia (LIH) is still a challenge to most of the abdominal wall surgeons due to unacceptable high morbidity and recurrence rates. Reconstruction of the abdominal wall based on close of the defect and mesh reinforcement is essential for treatment of LIH. Endoscopic component separation technique (ECST) provides significant assistances for abdominal wall reconstruction, which not only has similar reconstruction results as open component separation with minimally surgical procedures , but also decrease the morbidity significantly. Understanding the correct procedure of ECST is very important for LIH reconstruction.

Key words: large incisional hernia；endoscopic component separation technique, abdominal wall, reconstruction

摘要：

巨大腹壁切口疝（LIH）由于其治疗的复杂性使其至今仍是腹壁外科医师所必须面对的挑战。在腹部缺损关闭基础上实施腹壁加强修补是腹壁重建的基本原则，建立在组织结构分离基础上的内镜组织结构分离技术（ECST）为腹壁缺损的关闭提供了重要的支持与帮助，不仅可以更小的创伤实现与开放组织结构分离技术同样的腹壁重建效果，而且显著降低并发症的发生率，改善病人生活质量。准确掌握与正确实施ECST对于LIH的治疗具有重要意义。

关键词: 巨大腹壁切口疝, 内镜组织结构分离技术, 腹壁, 重建