摘要
腹股沟疝作为普通外科的常见病症,通常由腹壁强度减弱及腹内压升高(如肥胖、慢性咳嗽或高强度体力活动等)引发,致使腹腔内器官(如肠道)经腹股沟区域缺损向外膨出形成可触及的包块。患者多表现为局部隆起、活动后坠胀或疼痛,严重时可因肠管嵌顿引发缺血性坏死等并发症。近年来,单孔腹腔镜技术因其微创优势备受关注,其中单孔腹腔镜完全腹膜外疝修补术(SIL-TEP)通过单一脐部切口直接进入腹膜前间隙,无需穿透腹腔,显著降低了肠粘连及脏器损伤风险。该术式兼具创伤小、恢复快、瘢痕隐蔽等优势,尽管操作难度较高,但随着器械改良及术者经验累积,现已成为腹股沟疝治疗的重要发展方向。
Inguinal hernia,a common condition in general surgery,is typically caused by weakened abdominal wall strength and increased intra-abdominal pressure(e.g.,obesity,chronic cough,or intense physical activity).This leads to protrusion of abdominal organs(such as intestinal loops)through defects in the inguinal region,forming a palpable mass.Patients commonly present with localized bulging,and post-exertional dragging discomfort or pain,and may develop complications like ischemic necrosis due to intestinal incarceration in severe cases.In recent years,single-incision laparoscopic surgery has gained significant attention for its minimally invasive advantages.In particular,single-incision laparoscopic totally extraperitoneal hernioplasty(SIL-TEP)accesses the preperitoneal space through a single umbilical incision without entering the abdominal cavity,substantially reducing risks of intestinal adhesion and visceral injury.This technique combines the benefits of minimal trauma,rapid recovery and concealed scarring.Although technically challenging,SIL-TEP has emerged as an important development direction in inguinal hernia treatment with ongoing instrument refinements and accumulated surgical expertise.
作者
张雨顺
蒲锐
李贵平
ZHANG Yushun;PU Rui;LI Guiping(Department of General Surgery,the People's Hospital of Gaoping District,Nanchong,Sichuan 637100,China)
出处
《手术电子杂志》
2025年第3期9-10,共2页
Electronic Journal of Medical Operations
基金
南充市科技计划项目(23YYJCYJ0080)
南充市科技计划项目(23YYJCYJ0081)。
关键词
腹股沟疝
微创手术
单孔腹腔镜手术
inguinal hernia
minimally invasive surgery
single-incision laparoscopic surgery
