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小切口辅助腹腔镜手术在巨大造口旁疝修补术中的应用

王明刚 陈杰 赵学飞 聂玉胜 田茂霖

腹腔镜外科杂志2012,Vol.17Issue(10):755-757,3.
腹腔镜外科杂志2012,Vol.17Issue(10):755-757,3.

小切口辅助腹腔镜手术在巨大造口旁疝修补术中的应用

The application of laparoscopic hernia repair with a subsidiary mini-incision for large parastomal hernias

王明刚 1陈杰 1赵学飞 1聂玉胜 1田茂霖1

作者信息

  • 1. 首都医科大学附属北京朝阳医院,北京,100020
  • 折叠

摘要

Abstract

Objective: To explore the clinical effect and the experience of laparoscopic hernia repair with a subsidiary mini-incision for large parastomal hernias. Methods:The clinical data of 37 patients with large parastomal hernia who underwent laparoscopic hernia repair with a subsidiary mini-incision from Aug. 2008 to Dec. 2010 were retrospectively analyzed, and reviewed the operational duration,missed hernia,length of the incision,the length of stay, wound infection,serumal cyst,chronic pain and recurrence. Results; All of the 37 cases underwent smooth operations. The mean operation time was ( 127. 97 ± 18. 54) min, and the average length of the incision were (5. 89 ±1.02) cm,and 12 cases of missed hernia were founded in the operation,and 3 cases of intestinal injury were repaired intraoperatively, and there was no operative fatality. The mean postoperative length of stay were ( 5. 35 ± 1. 27) d, and 3 case had the postoperative pain lasted 3 months, and 4 case had the postoperative serumal cyst, and there was no incisional infection. All the cases had the follow-up of 6-30 m and no recurrence was observed. Conclusions: Laparoseopic hernia repair with a subsidiary mini-incision could be an effective and safe method. It can reduce the incidence of the postoperative complication.

关键词

造口旁疝/疝修补术/腹腔镜检查/小切口/病例报告

Key words

Parastomal hernia/ Herniorrhaphy/ Laparoscopy/ Micro-incision/ Case reports

分类

医药卫生

引用本文复制引用

王明刚,陈杰,赵学飞,聂玉胜,田茂霖..小切口辅助腹腔镜手术在巨大造口旁疝修补术中的应用[J].腹腔镜外科杂志,2012,17(10):755-757,3.

腹腔镜外科杂志

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