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经腹腔腹膜前补片腹腔镜腹股沟疝修补术170例报告 被引量:2

Laparoscopic transabdominal preperitoneal repair of inguinal hernia:experience of 170 cases
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摘要 目的:探讨经腹腔腹膜前补片腹腔镜腹股沟疝修补术(TAPP)治疗腹股沟疝的方法与经验。方法:1995年6月~2005年7月应用TAPP治疗170例腹股沟疝,采用网状补片常规固定、腹膜常规连续缝合关闭等方法。结果:170例手术均获成功,无中转开放手术,平均手术时间52.5(40~120)min,术后平均住院4.5d。术后随访1~11年,1例直疝复发。结论:TAPP是一种安全可靠的疝修补术,具有复发率低等优点,特别适于复发疝、双侧疝等,值得推广应用。 Objective: To discuss the experience of laparoscopic transabdominal preperitoneal repair of inguinal hernia (TAPP). Methods: From 1995.6 to 2005.7 we performed TAPP to 170 cases with inguinals hernia. The techniques used in operations included mesh patch, patch regular fix and peritoneum regular continuous sew up. Results: Operations were successfully done to all cases. The operative time ranged from 40 to 120 min. The average hospitalization was 4.5 days. Postoperative follow-up ranged from 1 to 11 years. Only 1 case of direct hernia relapsed. Condusions: TAPP is a safe and reliable method. It has the advantage of low relapse rate and is especially suitable for bilateral and recurrent hernia. It the deserves to be expanded.
出处 《腹腔镜外科杂志》 2006年第4期288-289,共2页 Journal of Laparoscopic Surgery
关键词 腹腔镜 腹股沟 疝修补术 Laparoscopy Hernia, inguinal Repair of hernia
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  • 1Davies N M,Ann Roy Coll Surg Engl,1995年,77卷,6期,409页
  • 2Kapiris SA, Brouh WA, Royston CM, et al. Laparoscopic transabdominal preppritoneal (TAPP) hernia repair. A 7 years two center experience in 3 017 patients [ J ]. Surg Endosc, 2001, 15 (9) :972.
  • 3Phillips EH, Rosenthal R, Fallas M, et al. Resons for early recurrence following laparoscopic hernioplasty [ J]. Surg Endosc,1995,9(2) :140.
  • 4Felix EL, Michas CA, Gonzalez MH. Laparoscopic hernioplasty: TAPP vs TEP[J]. Surg Endosc, 1995,9(9) :984.

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