摘要
目的：探讨免气囊分离器完全腹膜外腹腔镜腹股沟疝修补术（totally extraperitoneal repair，TEP）的可行性、手术技巧和临床经验。方法：2005年6月至2007年5月为21例患者（23侧）行腹股沟疝免气囊分离器TEP，其中斜疝21侧，直疝、股疝各1侧。结果：所有患者均顺利完成手术，平均手术时间70min，术中平均出血16ml，术后平均住院5d。发生腹壁下血管游离5例次，腹壁气肿5例次，血肿或血清肿4例次，腹膜破损与神经感觉异常各3例次，膀胱损伤1例次。随访2—24个月，无复发。结论：免气囊分离器TEP安全可行，手术难点是正确分离腹膜外置入网片的腔隙。
Objective：To explore the feasibility, operative skills and the experience of totally extraperitoneal repair（TEP） of inguinal hernia without using a dissection balloon. Methods：During June 2005 to May 2007,21 patients were performed 23 totally laparoseopic extraperitoneal hernia repairs for inguinal hernia without employing a dissection balloon, including 21 indirect inguinal hernia, 1 direct inguinal hernia and 1 femoral hernia operations. Results：All patients were performed the operation successfully. The mean operating duration was 70min,the mean operative blood loss was 16ml,the mean postoperative hospital stay was 5 days. The eplgastrie vessels was torn off by avulsion in 5 eases, the emphysema in abdominal wall was formed in 5 eases, the hematoma or seroma appeared in 4 cases,the peritoneal laceration and the abnormal sense of nerve occurred in 3 cases, and one case had bladder injury. The patients were followed up for 2 - 24 months, no recurrence occurred. Conclusions ： TEP without using dissection balloon is safe and feasible. The key process is that the extraperitoneal space must be separated accurately in order to lay the mesh.
出处
《腹腔镜外科杂志》
2007年第6期500-502,共3页
Journal of Laparoscopic Surgery
关键词
腹腔镜检查
疝
腹股沟
完全腹膜外径路
免气囊分离器
疝修补术
Laparoscopy
Hernia, inguinal
Totally extraperitoneal approach
No dissection balloon
Herniorrhaphy
作者简介
李向国（1966-）男，铜陵有色金属集团公司职工总医院普外科副主任医师，主要从事普外科及腹腔镜外科的研究。
