CAJ | 학술논문

目的：探讨腹腔镜腹壁切口疝修补术的治疗经验和体会。方法回顾性分析15例腹腔镜切口疝修补术患者临床资料。结果15例均在腔镜下完成切口疝修补术，手术时间60～180 min，平均（117．00±30．46）min，术后排气时间1～2 d，平均住院时间（16．53±3．46）d。术中无肠管浆膜层损伤、大出血病例。无术后血肿、切口感染、补片感染、肠瘘或死亡病例。10例患者（66．67％）有不同程度的腹壁钉合区域疼痛。术后随访2～11个月，无复发病例。结论腹腔镜下采用钉合器或钉合器加缝线贯穿腹壁双重固定补片法修补腹壁切口疝安全、有效。腹腔镜切口疝修补术具有创伤小、恢复快、并发症发生率及复发率低等优点。
목적：탐토복강경복벽절구산수보술적치료경험화체회。방법회고성분석15례복강경절구산수보술환자림상자료。결과15례균재강경하완성절구산수보술，수술시간60～180 min，평균（117．00±30．46）min，술후배기시간1～2 d，평균주원시간（16．53±3．46）d。술중무장관장막층손상、대출혈병례。무술후혈종、절구감염、보편감염、장루혹사망병례。10례환자（66．67％）유불동정도적복벽정합구역동통。술후수방2～11개월，무복발병례。결론복강경하채용정합기혹정합기가봉선관천복벽쌍중고정보편법수보복벽절구산안전、유효。복강경절구산수보술구유창상소、회복쾌、병발증발생솔급복발솔저등우점。
Objective To explore the experience of diagnosis and treatment of laparoscopic abdominal inci-sion hernia repair.Methods The clinical data of 15 patients treated with laparoscopic incision hernia repair were ret-rospectively analyzed.Results All 15 cases were successful in operation by laparoscopy.The operation time was 60~180 mins,and the mean operation time was (117 ±30.46) mins,the post-operation aerofluxus time was 1~2 days and the mean time of post-operation hospital stay was (16.53 ±3.46) days.During the operation no association with serosal layer damage or massive hemorrhage occurred;no postoperative seroma infection,intestinal fistula,infec-tion of incision,patches or deaths occurred.Ten patients(66.67%) had abdominal wall nail regional pain to different degree.2~11 months′postoperative follow-up indicated no recurrent cases.Conclusion Laparoscopic adoption of stapler or stapler with sutures through abdominal wall to repair incisional hernia is safe and effective.Compared with the open surgery,laparoscopic incisional hernia repair has the advantage of minor injury,quicker recovery,and lower recurrence rate.