中国现代手术学杂志2016，Vol.20Issue(2)：87-89,3.DOI:10.16260/j.cnki.1009-2188.2016.02.003
腹腔镜下完全腹膜外腹股沟疝修补术腹膜前间隙的创建
Experience on Preperitoneal Space Creation during Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
王志 1张成 1尹兴瑞 1克力木·阿布都热依木 1李慧灵 1苏福增1
作者信息
- 1. 新疆维吾尔自治区人民医院微创、疝与腹壁外科,乌鲁木齐830001
- 折叠
摘要
Abstract
Objective To summarize the clinical experience on the preperitoneal space creation during laparoscopic totally extraperitoneal inguinal hernia repair (TEP).Methods The clinical data of 154 inguinal hernia patients treated by laparoscopic TEP surgery were analyzed retrospectively during January 2014 to January 2015,including 144 cases of unilateral hernia and 10 cases of bilateral hernia.There was indirect hernia in 120 laterals,direct hernia in 36 laterals,femoral hernia in 8 laterals.The inguinal hernia was type Ⅰ in 35 cases,type Ⅱ in 71 cases,type Ⅲ in 34 cases and type Ⅳ in 14 cases.Results All 154 cases with 164 laterals were accomplished the laparoscopic TEP successfully.The unilateral operation time was 20 to 65 minutes with an average 32.5 minutes.No intraoperative bleeding and deferent duct injury were found.Postoperative complications occurred in 13 cases:Inguinal region seroma in 6 cases,and cured after puncture drainage,navel incision delayed healing in 6 cases,and recurrence in 1 cases within two days after surgery and cured by reoperation.149 cases were followed up for 1 to 13 months(means,7.5 moths).No complications such as patch infection,chronic pain and testicular atrophy were found.Conclusion The correct creation of preperitoneal space is the key to certify the laparoscopic TEP success and reduce the postoperative complication.关键词
疝,腹股沟/腹腔镜检查/腹膜外疝修补术Key words
hernia, inguinal/laparoscopy/extraperitoneal prosthetic inguinal repair分类
医药卫生引用本文复制引用
王志,张成,尹兴瑞,克力木·阿布都热依木,李慧灵,苏福增..腹腔镜下完全腹膜外腹股沟疝修补术腹膜前间隙的创建[J].中国现代手术学杂志,2016,20(2):87-89,3.
