中国内镜杂志2012，Vol.18Issue(2)：154-156,3.
脐襞在成人腹股沟疝腹腔镜修补术中应用的临床研究
Clinical research on application of navel crenulation in laparoscopic adult herniorrhaphy
摘要
Abstract
[ Objective ] To study the feasibility and superiority of the application of navel crenulation (median umbilical fold or medial umbilical fold) in laparoscopic treatment for adult inguinal hemia. [Methods] Between January 2003 and June 2008, total peritoneum intraperitoneal onlay mesh (TPIPOM) was performed in 120 adult patients with inguinal hernia, 40 adult patients were free from patch in laparoscopic hemiorrhaphy. [Results] All the cases were performed successfully with no conversion occurred. The mean operative time was (35.5±8.5) min, the postoperative activity out of bed days was (1.3±0.4) d, the painful duration was (12±3.2) h, the length of hospital stay was (4.0±1.6) d and the total hospitalization expenditures were (7 642.8±684.3) RMB in TPIPOM group. The rate of postoperative complications was 2.86%, the follow -up period ranged from 6 to 75 months, no patients had recurrence. The mean operative time was (20.4±3.5) min, the postoperative activity out of bed days was (1.0±0.3) d, the painful duration was (10 ±2.5) h, the length of hospital stay was (3.5 ±1.5) days and the total hospitalization expenditures were (4530.2±100.5) RMB in the group free from patch in laparoscopic hemiorrhaphy. The follow-up period ranged from 6 to 60 months, no patients had recurrence. [Conclusions] Laparoscopic hemiorrhaphy with navel crenulation is safe and effective for adult patients with inguinal hernia with advantages of less injury, faster recovery and lower recurrent rate, deserves the clinical expansion.关键词
脐襞/腹腔镜/腹股沟疝/疝修补术/成人Key words
navel crenulation/ laparoscopy/ inguinal hernia/ hemiorrhaphy/ adult分类
医药卫生引用本文复制引用
李鹏胜,王汉宁,向国安,陈开运,高鹏,肖方联,肖金丰,余智涛..脐襞在成人腹股沟疝腹腔镜修补术中应用的临床研究[J].中国内镜杂志,2012,18(2):154-156,3.基金项目
广东省医学科研课题基金(No.A2007144) （No.A2007144）
