CAJ | 학술논문

目的探讨腹腔镜下全腹膜外补片植入术(TEP)和经腹腹膜前补片植入术(TAPP)治疗腹股沟疝的手术方式选择及治疗效果.方法回顾分析302例行TEP和TAPP患者的临床资料.结果无中转行开放手术.TAPP和TEP患者单侧疝手术时间(31.2±8.3) min和(55.3±15.2)min,双侧疝手术时间(46.2±11.2) min和(80.2±23.2) min,术中出血量(6.4±2.0) ml和(7.2±1.6)ml,初次下床活动时间(16.0±1.8)h和(16.0±1.5)h,住院时间(3.0±0.6)d和(3.1±0.8)d.结论腹腔镜腹股沟疝修补术安全、复发率低、并发症少、疼痛轻、康复快、切口美观等优点.
목적 탐토복강경하전복막외보편식입술(TEP)화경복복막전보편식입술(TAPP)치료복고구산적수술방식선택급치료효과.방법 회고분석302례행TEP화TAPP환자적림상자료.결과 무중전행개방수술.TAPP화TEP환자단측산수술시간(31.2±8.3) min화(55.3±15.2)min,쌍측산수술시간(46.2±11.2) min화(80.2±23.2) min,술중출혈량(6.4±2.0) ml화(7.2±1.6)ml,초차하상활동시간(16.0±1.8)h화(16.0±1.5)h,주원시간(3.0±0.6)d화(3.1±0.8)d.결론 복강경복고구산수보술안전、복발솔저、병발증소、동통경、강복쾌、절구미관등우점.
Objective To explore surgical options and clinical outcome of preperitoneal hernia repair (TAPP) and totally ext raperitoneal hernia repair (TEP) in inguinal hernia repair.Methods The clinical data of 302 patients underwent laparoscopic herniorrhaphy were retrospectively analyzed.Results None of patient s was changed to open operation.The TAPP and TEP outcome measures:the unilateral hernia surgery time from (31.2 ± 8.3) min and (55.3 ± 15.2) min,bilateral hernia surgery time was (46.2 ± 11.2)min and (80.2 ± 23.2) min; blood loss was (6.4 ± 2.0) ml and (7.2 ± 1.6) ml,bed activity for the first was (16.0 ± 1.8) h and (16.0 ± 1.5) h,hospital stay was (3.0 ±0.6) d and (3.1 ±0.8) d.Conclusions Laparoscope herniorrhaphy is safe due to lower recurrence and complications.It also has the advantages of slight pain and rapid recovery.