CAJ | 학술논문

目的探讨腹腔镜手术治疗腹部各类疝疾病的技巧和体会.方法回顾分析2004年5月至2008年12月腹腔镜手术治疗的腹部疝疾病患者30例的临床资料.腹股沟疝23例,行完全腹膜外疝修补术(TEP)20例,行TAPP 3例.腹壁切口疝4例,行腹膜内补片植入疝修补术(IPOM).食管裂孔疝3例,采用Nissen法胃底折叠术.结果 TEP平均手术时间72 min,平均住院时间4.6 d.TAPP平均手术时间127 min,平均住院时间5.8 d.IPOM平均手术时间150 min,平均住院时间7.5 d.食管裂孔疝修补Nissen式胃底折叠术平均手术时间160 min.平均住院时间5.3 d.各组患者无中转开腹手术病例,术后恢复良好,未见复发病例.结论腹腔镜下疝修补术治疗各种腹部疝疾病操作简便,效果确切,可以充分发挥腹腔镜技术的微创优势.
목적 탐토복강경수술치료복부각류산질병적기교화체회.방법 회고분석2004년5월지2008년12월복강경수술치료적복부산질병환자30례적림상자료.복고구산23례,행완전복막외산수보술(TEP)20례,행TAPP 3례.복벽절구산4례,행복막내보편식입산수보술(IPOM).식관렬공산3례,채용Nissen법위저절첩술.결과 TEP평균수술시간72 min,평균주원시간4.6 d.TAPP평균수술시간127 min,평균주원시간5.8 d.IPOM평균수술시간150 min,평균주원시간7.5 d.식관렬공산수보Nissen식위저절첩술평균수술시간160 min.평균주원시간5.3 d.각조환자무중전개복수술병례,술후회복량호,미견복발병례.결론 복강경하산수보술치료각충복부산질병조작간편,효과학절,가이충분발휘복강경기술적미창우세.
Objective To investigate the clinical skill and experience of laparoscopic herniorrhaphy in the treatment of abdominal hernia. Methods Clinical data of 30 cases of abdominal hernia undergoing laparoscopic her-niorrhaphy in Shengjing Hospital from May 2004 to December 2008 were analyzed retrospectively. There were 23 in-guinal hernia,4 incision hernia and 3 hiatal hernia. TEP in 20 cases,TAPP in 3 cases,lPOM in 4 cases and Nissen hiatal hernia repair in 3 cases were performed. Results The mean operating duration was 72 min for TEP, 127 for TAPP,150 min for IPOM,and ]60 min for hiatal hernia repair and the mean time for hospitalization was 4.6,5.8, 7.5, and 5.3 days. No conversion to open surgery happened among these cases. No recurrence was found. Conclu-sions Laparoscopic herniorrhaphy appears to be an effective and convenient technique for the treatment of abdomi-nal hernia and has many advantages of minimally invasive surgery.