外科理论与实践2012,Vol.17Issue(5):490-493,4.DOI:10.3969/j.issn.1007-1096.2012.05.021
老年人腹腔镜腹股沟疝修补术(附56例报告)
Laparoscopic repair for inguinal hernia in old-aged patients: 56 cases report
潘玉琴 1吴卫东 1方芳1
作者信息
- 1. 上海交通大学医学院附属上海市第一人民医院普外科,上海200080
- 折叠
摘要
Abstract
Objective To analyze the clinical data of laparoscopic repairing for inguinal hernia in old-aged patients. Methods Clinical data of 56 cases with inguinal hernia in our department from Jan 2007 to Dec 2011 were retrospectively analyzed. There were 48 cases of single-sided hernia, including 34 indirect inguinal hernia, 10 direct inguinal hernia and 4 femoral hernia. The rest 8 cases were double-sided inguinal hernia. The follow-up was done on (36± 11) months after operation. Results All cases underwent laparoscopic repair successfully. There were 26 case with transabdominal preperitoneal (TAPP) and 30 cases with totally extraperitoneal (TEP). The average operative time was (78± 14) min for TAPP and(64±10) min for TEP. The average length of postoperative stay was(5,8±1.8) days. The most common postoperative complications were transient paresthesia (37.5%,21/56), chronic pain(28.6%, 16/56) and seroma (21.4%, 12/ 56). The recurrence rate was 1.8%(l/56). Conclusions Laparoscopic repair for inguinal hernia has the advantage of less trauma, faster recovery and lower recurrent rate for old-age patients with sufficient safety.关键词
腹股沟疝/腹腔镜/疝修补术/老年人Key words
Inguinal hernia/ Laparoscopes/ Hernia repairing/ Old-aged分类
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潘玉琴,吴卫东,方芳..老年人腹腔镜腹股沟疝修补术(附56例报告)[J].外科理论与实践,2012,17(5):490-493,4.