岭南现代临床外科
嶺南現代臨床外科
령남현대림상외과
LINGNAN MODERN CLINICS IN SURGERY
2014年
3期
329-330
,共2页
腹股沟疝修补术%腹腔镜%经腹腹膜前%免钉合
腹股溝疝脩補術%腹腔鏡%經腹腹膜前%免釘閤
복고구산수보술%복강경%경복복막전%면정합
Inguinal Herniorrhaphy%laparoscopy%Transabdominal preperitoneal%Non-stapling
目的：探讨腹腔镜下免钉合经腹腹膜前腹股沟疝修补术（TAPP）的手术效果。方法分析2009年10月～2014年2月行TAPP手术104例。建立气腹后，于疝环边缘上方切开腹膜，于腹膜前置入聚丙烯补片，不予钉合固定。结果104例手术均获成功，无中转开腹，无手术及术后出血。随访1～20个月，无复发及慢性疼痛发生。结论免钉合TAPP手术操作方便，但需要较娴熟的腹腔镜操作技术及镜下缝合技术，腹膜前间隙的合适的解剖以及补片适当的置入是手术关键，免钉合既降低了手术的费用，也避免了手术后的疼痛的发生。
目的：探討腹腔鏡下免釘閤經腹腹膜前腹股溝疝脩補術（TAPP）的手術效果。方法分析2009年10月～2014年2月行TAPP手術104例。建立氣腹後，于疝環邊緣上方切開腹膜，于腹膜前置入聚丙烯補片，不予釘閤固定。結果104例手術均穫成功，無中轉開腹，無手術及術後齣血。隨訪1～20箇月，無複髮及慢性疼痛髮生。結論免釘閤TAPP手術操作方便，但需要較嫻熟的腹腔鏡操作技術及鏡下縫閤技術，腹膜前間隙的閤適的解剖以及補片適噹的置入是手術關鍵，免釘閤既降低瞭手術的費用，也避免瞭手術後的疼痛的髮生。
목적：탐토복강경하면정합경복복막전복고구산수보술（TAPP）적수술효과。방법분석2009년10월～2014년2월행TAPP수술104례。건립기복후，우산배변연상방절개복막，우복막전치입취병희보편，불여정합고정。결과104례수술균획성공，무중전개복，무수술급술후출혈。수방1～20개월，무복발급만성동통발생。결론면정합TAPP수술조작방편，단수요교한숙적복강경조작기술급경하봉합기술，복막전간극적합괄적해부이급보편괄당적치입시수술관건，면정합기강저료수술적비용，야피면료수술후적동통적발생。
Objective To evaluate the efficacy of laparoscopic transabdominal preperitoneal (TAPP)hernia repair with non stapling mesh. Methods 104 patients with inguinal hernia were included in the study from Oct 2009 to Feb 2014, and the clinical data were analyzed retrospectively. The brief surgical procedure was as follow. After setting the pneumoperitoneum, cut the peritoneum,then, place polypropylene mesh and fixed with non-stapling via preperitoneal operation. Results All operations were completed successfully , and no bleed occurred during and after surgery and no recurrence was found in one to 20 months of follow-up. Conclusion TAPP with non-tapling mesh is safe and feasible, and this operation reduces hospital cost and avoids the pain due to stapling.
