摘要
目的:探讨微型腹腔镜疝囊高位结扎术常见并发症的原因及预防措施。方法:回顾分析2003年11月至2011年11月为5 450例患儿行腹腔镜腹股沟疝囊高位结扎术的临床资料,术后随访1个月～5年。结果:5 450例手术均顺利完成,56例(1.03%)发生并发症,其中17例(0.31%)复发5,例(0.09%)腹膜前气肿,11例(0.20%)大网膜气肿,2例(0.04%)疝囊残留余气3,例(0.06%)发生脐部切口网膜疝,6例(0.11%)切口出血或血肿2,例(0.04%)肠穿孔,2例(0.04%)医源性隐睾,8例(0.15%)线结异物瘘。结论:微型腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝安全可行,随着术者技术水平的不断提高,并发症可以预防。
Objective：To explore the common causes and prevention of complications on mini-laparoscopic treatment in pediatric inguinal hernia.Methods：The data of 5 450 pediatric patients with inguinal hernia undergoing mini-laparoscopic high ligation of hernial sac from Nov.2003 to Nov.2011 were retrospectively analyzed,and they were followed up for 1 months to 5 years.Results：All cases were performed successfully,56 cases suffered complications（1.03%）,including recurrence of 17 cases（0.31%）,the anterior peritoneal emphysema of 5 cases（0.09%）,omental emphysema of 11 patients（0.20%）,the residual gas in hernial sac of 2 cases（0.04%）,the umbilical incisional omental hernia of 3 cases（0.06%）,incisional bleeding or hematoma of 6 cases（0.11%）,the bowel perforation of 2 cases（0.04%）,iatrogenic cryptorchidism of 2 cases（0.04%）,the line foreign reaction fistula of 8 cases（0.15%）.Conclusions：Along with the constant improvement of the operation technology,complications can be prevented.Laparoscopic inguinal hernial repair in children is safe and feasible,it is worthy to be widely popularized.
出处
《腹腔镜外科杂志》
2012年第3期212-215,共4页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
腹腔镜检查
儿童
并发症
Hernia
inguinal
Laparoscopy
Children
Complications
