CAJ | 학술논문

目的：总结改良单孔法微型腹腔镜小儿腹股沟斜疝疝囊高位结扎术的手术方法、疗效及优缺点。方法回顾性分析2011年6月至2014年6月100例腹股沟斜疝患儿行改良单孔法腹腔镜疝囊高位结扎术的临床资料。其中单侧斜疝95例，双侧斜疝5例。手术特点主要通过一个改良的腹壁穿刺针进行穿刺、疝囊高位结扎，完成手术。结果100例手术均获成功，平均手术时间单侧疝10～35 min，双侧疝25～45 min，术后平均1～2 d出院，无明显并发症和复发病例。结论改良单孔法腹腔镜小儿腹股沟斜疝疝囊高位结扎术安全，有效，并发症少，可同期处理对侧隐匿性腹股沟斜疝。
목적：총결개량단공법미형복강경소인복고구사산산낭고위결찰술적수술방법、료효급우결점。방법회고성분석2011년6월지2014년6월100례복고구사산환인행개량단공법복강경산낭고위결찰술적림상자료。기중단측사산95례，쌍측사산5례。수술특점주요통과일개개량적복벽천자침진행천자、산낭고위결찰，완성수술。결과100례수술균획성공，평균수술시간단측산10～35 min，쌍측산25～45 min，술후평균1～2 d출원，무명현병발증화복발병례。결론개량단공법복강경소인복고구사산산낭고위결찰술안전，유효，병발증소，가동기처리대측은닉성복고구사산。
Objective To explore the effect of a modified single port laparoscopic surgery on treatment of high ligation of hernial sac in children with inguinal hernia. .Methods Retrospective review was conducted to 100 children underwent laparoscopic high of hernial sac transfixion between June 2011and June 2014..Of 100 cases, 95 were unilateral indirect inguinal hernia, 5 bilateral indirect inguinal hernia, Amodified surgical procedure was performed in operating. Results All cases were operated successfully. The mean operation time was 10-35 minutes in unilateral hernia and 25-45 minutes in bilateral hernia. The average hospital stay after operation was 1-2 days. There were no complication and no recurrence..Conclusion The modified single port laparoscopy is safe and effective for children with good cosmetic results and few complications , which can be handled the other side of contralateral inguinal hernia.