CAJ | 학술논문

目的：目的介绍经脐单孔改良腹腔镜治疗小儿腹股沟斜疝的手术方法，探讨其运用价值及优势。方法回顾性分析2012年9月-2013年4月经脐单孔用腹腔镜镜头辅助完成疝囊高位结扎110例腹股沟斜疝患儿的临床资料，年龄5个月至4岁3个月，平均11个月，男性102例，女性8例，单侧89例（右侧62例，左侧27例），双侧21例，巨大疝18例，复发疝8例。结果110例患儿手术均获成功，其中28例术前诊断单侧腹股沟斜疝，术中发现对侧隐匿性斜疝，同时手术。手术时间单侧10～13 min，双侧18～25 min，患儿术后第2天出院，随访1～6个月，所有患儿无复发、医源性隐睾、睾丸萎缩、线结排异等并发症发生。结论经脐单孔改良腹腔镜治疗小儿腹股沟斜疝，安全、疗效确切、更加美观，节省人力，优于传统腹腔镜疝囊高位结扎术。
목적：목적개소경제단공개량복강경치료소인복고구사산적수술방법，탐토기운용개치급우세。방법회고성분석2012년9월-2013년4월경제단공용복강경경두보조완성산낭고위결찰110례복고구사산환인적림상자료，년령5개월지4세3개월，평균11개월，남성102례，녀성8례，단측89례（우측62례，좌측27례），쌍측21례，거대산18례，복발산8례。결과110례환인수술균획성공，기중28례술전진단단측복고구사산，술중발현대측은닉성사산，동시수술。수술시간단측10～13 min，쌍측18～25 min，환인술후제2천출원，수방1～6개월，소유환인무복발、의원성은고、고환위축、선결배이등병발증발생。결론경제단공개량복강경치료소인복고구사산，안전、료효학절、경가미관，절성인력，우우전통복강경산낭고위결찰술。
Objetive The aim of this study was to introduce a method of modified transumbilical one port laparoscopic operation for indirect inguinal hernia in children,and investigated the clinical value and ad-vantage of the technique. Methods From September 201 2 to April 201 3,1 1 0 children with indirect inguinal hernia were treated by modified transumbilical one port laparoscoplc operation,only one operator accomplished the operation by using laparoscopic lens,the patients were age from 5months to 4.3 years,average 1 1 months, in which there were 1 02 boys,8 girls,89(right side in case of 62,left side in case of 27)unilateral indirect inguinal hernia,21 bilateral hernia,1 8 giant hernia,and 8 recurrent hernia. Results All of children were underwent this operation successfully.Among those patients who were diagnosed as unilateral hernia before op-eration,contralateral latent hernia was found in 28 children,and were underwent the operation.The operation time of unilateral was 1 0~1 3 min and 1 8 ~25 min in bilateral hernia.The average hospital stay period after surgery was 2 days.No recurrence was found within followed up 1 ~6 months,no complications occured such as iatrogenic cryptorchidism,atrophia testiculi,line node reaction,infection and so on. Conclusion The modified transumbilical one port one person laparoscoplc operation for indirect inguinal hernia was safety,effec-tive,better cosmetic,and saving manpower,which suggested the modified operation more advantage than tradi-tionary laparoscopic operation.