摘要
目的总结经弓状线下缘入路方式行单孔腹腔镜完全腹膜外疝修补术的手术技巧及治疗体会。方法回顾性分析2023年7月1日至2024年7月1日,于广东医科大学附属医院疝与腹壁外科住院并接受经弓状线下缘入路单孔腹腔镜完全腹膜外腹股沟疝修补术治疗的60例患者的临床资料、手术操作情况、术后恢复情况等。对数据进行分析,并总结归纳手术操作要点,同时进一步探讨该手术入路的疗效。结果60例患者手术过程均顺利完成,手术时间(57.73±15.97)min;术中腹膜破损4例;术中出血量(3.89±1.78)ml;术后住院时间(2.62±0.87)d;术后第1天疼痛视觉模拟评分(1.90±0.60)分;术后出现血清肿2例,阴囊皮下气肿1例,无患者出现术后血肿及手术切口感染。术后随访2个月至1年,随访期间未出现复发或术后切口疝患者。结论采用弓状线下缘入路行单孔腹腔镜完全腹膜外腹股沟疝修补术在疗效上是安全可行的,并且具有一定的技术优势,值得临床医师参考借鉴。
Objective To summarize the surgical technique and treatment experience of single-incision laparoscopic totally extra-peritoneal inguinal hernia repair via inferior arcuate line approach.Methods The clinical data,operation and postoperative recovery of 60 patients admitted to the Department of hernia and Abdominal Wall Surgery in the Affiliated Hospital of Guangdong Medical University from July 1,2023 to July 1,2024 who received single-incision totally extra-peritoneal inguinal hernia repair via inferior arcuate line approach were analyzed retrospectively.The key points of operation were summarized.At the same time,the curative effect of this surgical approach was further discussed.Results The operation was completed successfully in all 60 patients,and the average operation time was(57.73±15.97)minutes.Intraoperative peritoneal damage occurred in 4 cases.Intraoperative blood loss was(3.89±1.78)ml.Postoperative hospital stay was(2.62±0.87)days.VAS pain score on the first day after surgery was(1.90±0.60)points.Postoperative seroma occurred in 2 cases.Postoperative subcutaneous emphysema of scrotum occurred in 1 case.No patients had postoperative hematoma or incision infection.During the follow-up for 2 months to 1 year,there were no recurrent cases or postoperative incisional hernia cases.Conclusion Using single incision laparoscopic totally extra-peritoneal inguinal hernia repair via inferior arcuate line approach is safe and feasible,and has certain technological advantages,which is worthy of reference for clinicians.
作者
钟泽坤
陈明
林满洲
陈焕德
Zekun Zhong;Ming Chen;Manzhou Lin;Huande Chen(Department of Hernia and Abdominal Wall Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,Guangdong Province,China)
出处
《中华疝和腹壁外科杂志(电子版)》
2025年第6期679-683,共5页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
弓状线
单孔腹腔镜
腹腔镜完全腹膜外疝修补术
Hernia,inguinal
Arcuate line
Single incision laparoscopic surgery
Laparoscopic totally extra-peritoneal hernia repair
