摘要
目的：探讨自制简易气囊分离技术在腹腔镜完全腹膜外修补术（TEP）中应用的可行性。方法回顾性分析2013年1～7月，河北医科大学第二医院在全身麻醉下，采用自制简易气囊分离技术建立腹膜前间隙行TEP手术42例（54侧），其中双侧腹股沟疝12例。腹股沟斜疝38侧，腹股沟直疝16侧。结果手术均获得成功，单侧手术时间（28±10）min，双侧为（49±15）min。术中出血（4．3±1．8）ml，均无腹膜破裂。术后出现阴囊气肿3例，下腹壁腹膜外积液2例，经穿刺抽吸后痊愈。术后住院时间（2．4±1．2）d，恢复日常活动时间（5．2±1．7）d。术后随访时间6～12个月，未见复发和腹股沟区慢性疼痛等并发症的发生。结论在TEP手术中，采用自制简易气囊分离技术建立腹膜前间隙是安全可行和经济实用的，有利于初学者掌握和基层医院推广。
Objective To explore the feasibility of self-made simple balloon dissector in laparoscopic totally extraperitoneal hernia repair.Methods A total of 42 patients（54 sides）received TEP with self-made simple balloon dissector for separating preperitoneal space under general anesthesia from January 201 3 to July 201 3,including 1 2 cases of bilateral inguinal hernia,38 sides of indirect inguinal hernia,and 1 6 sides of direct inguinal hernia.Results The operations were successful in all patients.The average operation time of single side was （28 ±1 0）minutes,and that of double side was （49 ±1 5）minutes. The mean of blood loss during operation was （4.3 ±1 .8）ml.No peritoneum laceration was found.But the postoperative scrotum pneumatosis was found in 3 cases,and the abdominal hydrocele in 2 cases that can be cured by repeated puncture and aspiration.The average postoperative hospital stay was （2.4 ±1 .2）days, and the mean duration to normal activities was （5.2 ±1 .7）days.No recurrence or chronic pain in operation area were found during the follow-ups of 6 to 1 2 months.Conclusions The technique of self-made simple balloon dissector for separating preperitoneal space is feasible,safe,effective and economical in TEP,which is easy to be handled.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第2期1-3,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
腹腔镜
气囊
Hernia,inguinal
Herniorrhaphy
Laparoscopes
Air sacs
