首页|气腹针在单孔腹腔镜鞘状突高位结扎术中的应用

气腹针在单孔腹腔镜鞘状突高位结扎术中的应用

Application of Veress Needle in Single-port Laparoscopic High Ligation of Processus Vaginalis

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目的 探讨气腹针法单孔腹腔镜鞘状突高位结扎术的应用价值.方法 回顾性分析2021 年1 月~2023 年3月气腹针法单孔腹腔镜鞘状突高位结扎术51 例资料.用气腹针代替疝针行鞘状突高位结扎.结果 手术均获成功,未增加辅助孔或中转开放手术.46 例单侧手术时间6~15 min,(8.9±1.9)min;5 例双侧手术时间13~19 min,(15.4±2.3)min.术后随访6 个月,均无复发,无线结反应、阴囊水肿、阴囊血肿、医源性隐睾及睾丸萎缩等并发症发生.结论 气腹针法单孔腹腔镜鞘状突高位结扎术具有单孔手术、单次穿刺、操作简便易行的优点,疗效确切,值得推广.
Objective To explore the application value of single-port laparoscopic high ligation of processus vaginalis by using the Veress needle.Methods A retrospective analysis was conducted on data of 51 cases of single-port laparoscopic high ligation of processus vaginalis with the Veress needle from January 2021 to March 2023.A Veress needle was used instead of hernia needle to perform high ligation of processus vaginalis.Results All the operations were successful without additional auxiliary ports or conversion to open surgery.The time of unilateral operation in 46 cases was 6-15 min(mean,8.9±1.9 min).The bilateral operation time in 5 cases was 13-19 min(mean,15.4±2.3 min).After 6 months of follow-up after surgery,there was no recurrence in all children,and no complications such as suture knot reaction,scrotal edema,scrotal hematoma,iatrogenic cryptorchidism,and testicular atrophy occurred.Conclusions Single-port laparoscopic high ligation of processus vaginalis by using the Veress needle has the advantages of single-port surgery,single puncture,and simple performance.The therapeutic effect is definite and it is worthy to be popularized.

Communicating hydroceleIndirect inguinal herniaLaparoendoscopic single-port surgeryVeress needleProcessus vaginalis

康延杰、刘海潮、刘少朋、孙建涛

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郑州大学附属洛阳中心医院泌尿外科,洛阳 471000

郑州大学附属洛阳中心医院肝胆疝外科,洛阳 471000

交通性鞘膜积液 腹股沟斜疝 单孔腹腔镜手术 气腹针 鞘状突

2024

中国微创外科杂志
北京大学

中国微创外科杂志

CSTPCD北大核心
影响因子:2.21
ISSN:1009-6604
年,卷(期):2024.24(2)
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