摘要
目的:探讨腹腔镜在小儿腹股沟疝手术中的应用价值。方法:回顾分析2010年11月至2011年12月为136例腹股沟疝患儿行腹腔镜疝囊高位结扎术的临床资料。结果:136例手术均获成功。手术时间15~42 min,平均26 min,术后1~2天出院,无并发症发生。术中发现对侧内环口未闭23例(16.9%)。134例门诊及电话随访8个月,无复发病例。结论:腹腔镜小儿疝囊高位结扎术具有切口小、创伤小、疼痛轻、术后康复快、手术时间及住院时间短、操作简单、安全可靠等优点,术中可同时发现并处理对侧腹股沟区隐匿性疝,值得推广应用。
Objective:To evaluate the clinical value of laparoscopic surgery in the pediatric inguinal hernia.Methods:A retrospective review was performed on prospectively collected data of laparoscopic pediatric inguinal hernia repair in 136 children since Nov.2010.Results:All patients were treated successfully.Operation time was 15-42 min(average,26 min).Contralateral internal ring was not closed in 23 patients(16.9%).All these occult hernias were treated with clinically diagnosed hernia at the same surgery with excellent results and no post-operative morbidity.All patients were discharged 1-2 days after surgery.No recurrence was found during 8-month follow-up in 134 patients.Conclusions:Laparoscopic inguinal hernia repair in children is associated with smaller incision,less trauma,less pain,quicker recovery,shorter operative time and hospital stay.Laparoscopic repair allows diagnosis of unsuspected groin and pelvic hernias which can also be repaired during surgery.
出处
《腹腔镜外科杂志》
2012年第3期216-218,共3页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
腹腔镜检查
儿童
Hernia
inguinal
Laparoscopy
Children