腹腔镜下无钉合腹股沟疝修补术145例体会
Laparoscopic Herniorrhaphy with Non-stapling:Experience of 145 cases
王庆涛 1李勇 1周毅 1王兴 1林启谋1
作者信息
- 1. 529000 广东省江门市中心医院普通外科
- 折叠
摘要
目的探讨腹腔镜下无钉合腹股沟疝修补术的手术效果与并发症的防治.方法回顾性分析82例腹腔镜完全腹膜外腹股沟疝修补术(TEP)和63例腹腔镜经腹腹膜前腹股沟疝修补术(TAPP)手术患者的临床资料,所有手术均由同组医师完成,术式选择由术者决定,随访时间1-24个月(中位时间15个月),分析手术效果和并发症发生率.结果按术式分两组,两组患者术前的一般临床资料具有可比性(P>0.05),两组均无手术死亡和术后严重并发症病例.术后住院天数、术后并发症发生率两组间差异无统计学意义( P>0.05),但TAPP组复发疝的手术成功率明显高于TEP组(P<0.05),TEP组肛门排气时间短于TAPP组(P<0.05),TEP组手术时间及出血量均小于TAPP组(P<0.05).结论两种腹腔镜下无钉合腹股沟疝修补术均安全可靠,各有优缺点.手术时间及出血量的差异均与学习曲线有关.
Abstract
Objective To investigate the operation effect and complications prevention of Laparoscopic Herniorrhaphy with Non-stapling. Methods Retrospective analysis the Clinical, data of 145 patients with in guinal hernia including TAPP group(n=63) and TEP group(n=82). All the procedures were performed by the same surgical team, and the selection of the technique employed was decided by the surgeons. The follow-up period ranged from 1 to 24 months(median 15 months). The operation effect and complication rates were compared between the two groups. Results Patients divided into two groups according to the operation. The clinical data of two groups of patients were comparable(P>0.05). There was no significant difference in Postoperative hospitalization days and Postoperative complications(P>0.05). But the recurrent hernia surgery success rate of TAPP group is obviously higher than that of the TEP(P<0.05). And The anal exhaust time of TEP group was shorter than that of TAPP(P<0.05). TEP operation time and the amount of bleeding were less than TAPP(P<0.05). Conclusion TAPP and TEP are both safe and efficient techniques for repairing inguinal hernia. And TAPP with TEP each have advantages. The operation time and amount of bleeding differences are related with the learning curve.
关键词
腹股沟疝/腹腔镜疝修补术/完全腹膜外/腹膜前/无钉合Key words
Inguinal hernia/Laparoscopic Herniorrhaphy/Transabdominal preperitoneal/Total extraperitoneal/Non-stapling引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据