摘要
目的探讨腹腔镜经腹腹膜前疝修补术(laparoscopic transabdominal preperitoneal repair,TAPP)在临床应用中的可行性、安全性、实用性及操作简便性。方法回顾性分析2015年7月～2017年12月我院普通外科开展腹腔镜经腹腹膜前疝修补术(TAPP)18例的病例资料,分析其安全性与技术可行性,观察患者的相关手术指标及术后并发症情况。结果本组18例患者术中全部采用"七步法"操作顺序及相关要领完成手术,手术时间(75.5±13.2)min、术中出血量(25.7±10.3)mL、术后下床活动时间(14.6±3.5)h,术后住院时间(3.5±1.5)d,无因术后切口疼痛需使用止疼药物病例,术后采用可吸收线皮内缝合切口,无需拆线,美观满意度可,无阴囊血肿、切口感染及使用抗生素病例,无补片排异、肠粘连梗阻等其他并发症发生,术后随访3个月～2年无复发病例及其他严重并发症发生。结论腹腔镜经腹腹膜前疝修补术(TAPP)解剖清晰,操作简单,具有临床操作可行性、安全性等优点,值得推广。
Objective To investigate the feasibility, safety, practicability and ease of operation of laparoscopic transab- dominal preperitoneal repair（TAPP） in clinical application. Methods The clinical data of 18 cases of laparoscopic peritoneal anterior hernia repair （TAPP） performed by General Surgery of Lincang People＇s Hospital from July 2015 to De- cember 2017 were retrospectively analyzed. The safety and technical feasibility was analyzed. The relevant surgical in- dicators and postoperative complications of the patients were observed. Results All the 18 patients in the group under- went the ＂seven-step＂ procedure and related procedures to complete the operation. The operation time was（75.5±13.2）rain, the intraoperative blood loss was （25.7±10.3）mL, and the postoperative outpatient activity time was （14.6±3.5）h, and postoperative hospital stay was （3.5±1.5）d. There was no case of pain medication cased by postoperative incision pain. Afier the operation, the intradermal suture incision was used without need of suture removal. The aesthetic satisfaction was good, and there was no case of serotal hematoma, incision infection or antibiotic use. No other complications such as patch rejection, intestinal adhesion obstruction occurred. No recurrence cases and other serious complications oc- curred afler 3 months to 2 years of follow-up. Conclusion Laparoseopie transperitoneal anterior hernia repair（TAPP） has clinical operation feasibility, safety and other advantages, with clear anatomy and simple operation. It is worth pro- rooting.
作者
肖仲贤
于杰
龚海军
李顺凯
XIAO Zhongxian;YU Jie;GONG Haijun;LI Shunkai(Department of General Surgery,Lincang People＇s Hospital in Yunnan Province,Lincang 677000,China)
出处
《中国现代医生》
2018年第27期42-44,共3页
China Modern Doctor
关键词
经腹腹膜前疝修补术
腹腔镜
七步法
腹股沟疝
Transperitoneal anterior hernia repair
Laparoseopy
Seven-step method
Inguinal hernia
