中国普通外科杂志2012，Vol.21Issue(2)：196-199,4.
腹腔镜下腹股沟疝修补术的术式选择与效果
Selection of laparoscopic surgical procedure for inguinal hernia repair
姜井颂 1张锡山 2钟先荣 3刘振惠 3卢榜玉4
作者信息
- 1. 江苏省建康职业学院外科学及外科护理教研室,江苏南京210029
- 2. 江苏省机关医院普通外科,江苏南京210029
- 3. 江苏淮安涟水人民医院普通外科,江苏淮安223400
- 4. 广西医科大学第一附属医院微创外科中心,广西南宁530000
- 折叠
摘要
Abstract
Objective: To investigate the selection of laparoscopic surgical procedure for inguinal hernia repair.Methods: The clinical data of 162 patients (178 sides), who underwent totally extraperitoneal (TEP) repairor transabdominal preperitoneal (TAPP) inguinal heruia repair, between January 2004 and January 2008 inthe First Affiliated Hospital of Guangxi Medical University were retrospectively analyzed. The clinical resultssuch as the amount of intraoperative blood loss, operative time, time to passage of flatus, postoperative hospitalstay, postoperative complications, recurrence rate and long-term chronic pain between the two groups werecompared.Results: The general data of the two groups before operation were comparable (all P>0.05). There was nooperative mortality and no serious postoperative complications occurred in any of the groups. The time to ambulation, early complications and length of hospital stay between the two groups had no statistical differences (all P>0.05), while the operative time and surgical success rate of recurrent inguinal hernia repair of TAPP group were significantly higher than those of TEP group (both P<0.05), and the time to passage of flatus of TEP group was less than that of TAPP group (P<0.05).Conclusion: Laparoscopic approaches for inguinal hernia repair are safe and each of the two procedures has its advantages and disadvantages. Thus, the choice of procedure may not be uniform and, instead, should depend on the patient s individual condition and surgeons operative experience.关键词
疝,腹股沟/外科学/疝修补术/腹腔镜Key words
Hernia, Inguinal/surg/ Hernia Repair/ Laparoscopes分类
医药卫生引用本文复制引用
姜井颂,张锡山,钟先荣,刘振惠,卢榜玉..腹腔镜下腹股沟疝修补术的术式选择与效果[J].中国普通外科杂志,2012,21(2):196-199,4.
