临床小儿外科杂志2016，Vol.15Issue(4)：328-331,4.DOI:10.3969/j.issn.1671-6353.2016.04.005
单孔腹腔镜腹膜外结扎术治疗小儿腹股沟疝相关并发症分析
Related complications of single-port laparoscopic percutaneous extraperitoneal closure for pediatric in-guinal hernia
摘要
Abstract
Objetive To explore the causes of complications during single-port laparoscopic percutane-ous extraperitoneal closure (SPLPEC)for pediatric inguinal hernia. Methods The operative and follow-up data of 2258 children with inguinal hernia undergoing SPLPEC were retrospectively analyzed and their complica-tions collected from January 2011 to February 2016. Results Additional working port was required in 35 ca-ses due to huge hernia,sliding hernia,omental incarceration or adhesion.And 2,223 children with inguinal hernias underwent SPLPEC successfully with a two-hooked core hernia needle.Among 25 complications (1.11%),there were the injuries of inferior epigastric vessel (n =4),external iliac vein (n =1),umbilical omental hernia (n =2),umbilical infection (n =1),suture granuloma (n =5),discomfort in groin area (n =2),recurrence (n =4)and hydrocele (n =6).There was no postoperative onset of intestinal or bladder inju-ry,iatrogenic cryptorchidism or testicular atrophy. Conclusions With a dual-hooked core hernia needle, SPLPEC causes less trauma and leaves an invisible scar.However,improper handling results in the occur-rences of complications.For a lower incidence of complications,operators ought to further standardize and re-fine the technique.关键词
腹腔镜/疝,腹股沟/腹膜/结扎术/治疗/儿童Key words
Laparoscopes/Hernia,Inguinal/Peritoneum/Ligation/Therapy/Child引用本文复制引用
费川,张永婷,刘雪来,孙驰,刘林,李萌,李索林..单孔腹腔镜腹膜外结扎术治疗小儿腹股沟疝相关并发症分析[J].临床小儿外科杂志,2016,15(4):328-331,4.基金项目
国家卫生和计划生育委员会公益性行业科研专项 （）
