单孔腹腔镜经腹腹膜前股沟疝修补术联合胆囊切除术52例
Single-port laparoscopic transabdominal preperitoneal inguinal hernioplasty combined with cholecystectomy,report of 52 cases
朱校均 1李盛铠 2席雨辰 2高族伦 2薛慧敏 1杨宇欣 2陈鹏 2焦景怡 2周纯 3王鹏1
作者信息
- 1. 南通大学附属医院肝胆外科,南通 226001
- 2. 南通大学临床医学院,南通 226001
- 3. 南通大学附属医院全科医学科,南通 226001
- 折叠
摘要
目的 评价经脐单孔经腹腹膜前腹股沟疝修补术联合单孔腹腔镜胆囊切除术[SILS-(TAPP+LC)]的安全性和可行性.方法 回顾性分析2019年3月至2021年10月南通大学附属医院52例行SILS-TAPP+LC的成年患者的临床资料.结果 所有手术均顺利完成,术中未中转开放或加孔.手术时间为(49.2±7.5)min.术中发生胆囊破裂3例,无膀胱及肠道损伤发生.术后随访20～24个月,患者出现血清肿4例,腹股沟区异物感4例,慢性疼痛3例,未出现胆瘘、复发、补片感染、套管针疝等并发症.结论 SILS-(TAPP+LC)是安全可行的,术后疼痛轻,恢复快.
Abstract
Objective To evaluate the safety and feasibility of transumbilical single-port transabdominal preperitoneal hernioplasty plus cholecystectomy(SILS-TAPP+LC).Methods The clinical data of 52 adult patients who underwent[SILS-(TAPP+LC)]from Mar,2019 to Oct,2021 at the Affiliated Hospital of Nantong University were retrospectively analyzed.The perioperative indicators,postoperative complications and follow-up data were analyzed.Results All operations were successfully completed without conversion to open or multi-port laparoscopic surgery.The duration of surgery was(49.2±7.5)min.Three patients experienced gallbladder rupture,and there was no bladder or intestinal injury during the surgery.During the 20-24 months of postoperative follow-up period,4 patient developed seroma in the postoperative period,4 patients complained foreign body sense in the inguinal region,3 patients reported chronic pain,but no other complications,such as biliary fistula,recurrence,mesh infection,or trocar hernia,were observed.Conclusion SILS-(TAPP+LC)was a safe and feasible approach associated with little postoperative pain and rapid recovery.
关键词
疝修补术/胆囊切除术/单孔腹腔镜Key words
Hernioplasty/Cholecystectomy/Single-port laparoscopy引用本文复制引用
基金项目
南通市医学重点学科专项(十四五)(NTZDXK42)
出版年
2024
NETL
NSTL
万方数据