余中景 1林镇营 1李焕源 1杨梦成 1袁马保 1李冠钊 1张宝欣1
作者信息
- 1. 深圳市宝安区妇幼保健院小儿外科,深圳 518102
- 折叠
摘要
Abstract
Objective To explore the efficacy,advantages and disadvantages of treating pediatric hydro-cele/inguinal hernia with a 1.1 mm diameter transumbilical single-port laparoscopy.Methods A retrospective analysis was conducted for the clinical data and follow-up findings of 30 children with hydrocele/inguinal hernia from January 2022 to August 2023.A STORZ 1.1 mm laparoscope was applied with a homemade Trocar.Based upon the size of incision and the number of puncture holes,they were assigned into three groups of A(a single 1.8 mm umbilical incision,n=30),B(asingle3.3 mm umbilical incision,n=30)and C(double3.3 mm um-bilical incisions,n=80).The differences in gender,onset time,age,disease type,lesion site and operative dura-tion(unilateral/bilateral)were compared among three groups.Results In group A,the average operative age was 2.57 years with an average follow-up duration of 5.22 months.In group B,the average age was 3.81 years with an av-erage follow-up duration of 6.70 months.In Group C,the average age was 2.81 years with an average follow-up dura-tion of 6.38 months.None of them exhibited such postoperative complications as recurrence,iatrogenic cryptorchid-ism,incision infection or scrotal edema.However,one case(1/80)in group C developed postoperative granuloma at inguinal incision site.No statistically significant difference existed among three groups in terms of gender,type of dis-ease,differences in unilateral/bilateral conditions before and during surgery,operative duration or duration of illness.However,the difference in average age and unilateral operative duration was statistically significant among three groups(P=0.030 and P=0.039).Average age of group A/C was lower than that in group B(P=0.012 and P=0.024).Unilateral operative duration was longer in group A/C than that in group B(P=0.045 and P=0.015).Conclusions As compared to 3 mm single-umbilical-port laparoscopy and 3 mm dual-umbilical-port laparoscopy,1.1 mm single-umbilical-port laparoscopy for pediatric hydrocele/inguinal hernia has demonstrated consistent surgi-cal outcomes with no increase in postoperative complications.It is a safe and reliable surgery with mini-invasive scars.However,due to a limited number of cases,further experiences and equipment upgrades are required.关键词
睾丸鞘膜积液/疝,腹股沟/腹腔镜检查/治疗结果/对比研究/儿童Key words
Testicular Hydrocele/Hernia,Inguinal/Laparoscopy/Treatment Outcome/Comparative Study/Child
