CAJ | 학술논문

目的：总结经腹腹膜前腹股沟疝修补术的临床经验。方法回顾性分析2011年10月至2014年1月，昆明医科大学第一附属医院运用腹腔镜行经腹腹膜前腹股沟疝修补术618例，其中包括双侧132例，无合并症及同步手术。随访4～48个月（中位时间16个月）。结果所有手术全部成功，主要并发症有血清肿或积液6．8％，尿潴留5．3％，异物感或不适感3．2％，436例随访时间＞12个月，术后3个月无复发，远期复发3例（侧），总复发率0．485％（3/618）。结论经腹腹膜前腹股沟疝修补术治疗腹股沟疝是安全可行的，术后并发症及复发率等较传统开放手术有优势。
목적：총결경복복막전복고구산수보술적림상경험。방법회고성분석2011년10월지2014년1월，곤명의과대학제일부속의원운용복강경행경복복막전복고구산수보술618례，기중포괄쌍측132례，무합병증급동보수술。수방4～48개월（중위시간16개월）。결과소유수술전부성공，주요병발증유혈청종혹적액6．8％，뇨저류5．3％，이물감혹불괄감3．2％，436례수방시간＞12개월，술후3개월무복발，원기복발3례（측），총복발솔0．485％（3/618）。결론경복복막전복고구산수보술치료복고구산시안전가행적，술후병발증급복발솔등교전통개방수술유우세。
Objective To analyze and summarize the clinical experience of laparoscopic transabdominal preperitoneal (TAPP)inguinal hernia repair.Methods A total of 61 8 patients (including 1 32 cases of bilateral hernias)received TAPP in Kunming Medical University First Affiliated Hospital were retroactively collected in this study,no comorbidities and synchronous operation existed.Evaluating the efficacy after a median follow-up period of 1 6 months (range 4 to 48 months).Results All cases were operated successfully.At minimum of 4 months follow-up,seroma (6.8%),urine retention (5.3%),body foreign sensations or discomfort (3.2%)were the major complications.436 cases were followed up more than>1 2 months.During the follow-up,we found no short-term recurrence,and long-term recurrence occurred in three;the overall recurrence rate was 0.485% (3/61 8).Conclusion TAPP is a safe and effective procedure for inguinal hernia,with acceptable recurrence and complication rates.