摘要
目的 探讨腹腔镜在 70岁以上老年人腹股沟疝治疗中的作用。 方法 1999年 1月～ 2 0 0 2年 12月应用改进的腹腔镜腹腔内补网片法 (intraperitonealonlaymesh ,IPOM)治疗 6 9例高龄疝。 结果 6 9例均在腹腔镜下完成手术 ,手术时间2 0～ 30min ,平均 2 5min ,未出现术中并发症 ,术中出血极少。住院 5～ 7d。术后恢复顺利 ,无切口感染 ,无阴囊血肿。随访 6 9例 ,时间 6～ 2 4个月 ,无复发。 结论 在做好围手术期处理的前提下 ,改进的IPOM方法治疗高龄腹股沟疝是可行的。
Objective To explore the clinical effects of laparoscopic hernioplasty in patient over 70 years old. Methods We utilized the modified laparoscopic intraperitoneal onlay mesh (IPOM) to treat the inguinal hernia in 69 elderly patients. Results The laparoscopic operations were completed in all the 69 patients. The operative time was 20～30 min (mean, 25 min). No operative complications took place and the intraoperative blood loss was hardly seen. The duration of hospitalization was 5～7 days. The patients recovered smoothly, without wound infection or scrotum hematoma. Follow-up observations for 6～24 months in the 69 patients found no recurrence. Conclusions Modified laparoscopic IPOM treating inguinal hernia in elderly patients is feasible, on the premise of proper perioperative management.
出处
《中国微创外科杂志》
CSCD
2004年第3期212-213,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
老年
腹股沟疝
腹腔镜
Elderly
Inguinal hernia
Laparoscope
