摘要
目的探讨腹腔镜腹膜前补片植人腹股沟疝修补术（transabdominal prepenritoneal laparoscopic hernia repair．TAPP）的临床疗效。方法从脐及两侧旁开10cm穿刺，置人摄像头及内镜器械，自疝内环上约5cm处近脐外侧壁打开壁腹膜，游离疝囊，后置入补片，覆盖整个缺损区，将补片用钉合器固定在耻骨梳韧带及联合腱上。结果50例腹腔镜手术均成功，手术时间20～70min，（39．8±10．5）rain。术后腹股沟区疼痛1例，尿潴留2例。术后住院1～4d，平均2d。50例随访1～11个月，平均7个月，无复发。结论TAPP是安全有效的无张力疝修补术。
Objective To investigate the clinical efficacy of transabdominal preperitoneal laparoscopic hernia repair （TAPP）. Methods Three trocars were introduced into the abdomen at the umbilicus and both sides 10 cm from the umbilicus, respectively. The parietal peritoneum was opened at 5 cm above the internal ring and near the external border of the umbilicus. The hernial sac was dissected and a patch overlying the defect was stapled with the pectineal ligament and the conjoined tendon. Results The laparoscopic operation was completed successfully in all the 50 cases. The operation time was 20 -70 min （39.8 - 10.5 min）. Postoperatively, there were 1 case of groin pain and 2 cases of urine retention. The duration of postoperative hospital stay was 1 - 4 days （mean, 2 days）. Follow-up observations in the 50 cases for 1 - 11 months （mean, 7 months） found no recurrence. Conclusions Transabdominal preperitoneal laparoscopic hernia repair is a safe and effective tension-free hernioplasty.
出处
《中国微创外科杂志》
CSCD
2006年第12期946-947,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
疝修补术
腹腔镜
腹膜前
Hernioplasty
Laparoscopy
Preperitoneal
