CAJ | 학술논문

目的：探讨经腹腹膜前疝修补术（TAPP）在治疗腹股沟复发疝中的应用价值。方法回顾性分析2010年1月至2014年1月，成都军区昆明总院应用 TAPP 治疗腹股沟复发疝35例的临床资料。结果35例患者均在腹腔镜下完成手术，单侧复发疝手术时间20～45 min，平均（31±8）min，双侧复发疝手术时间35～60 min，平均（46．22±7．30）min。术中出血量少，术后无腹腔感染、肠粘连及肠梗阻，住院时间3 ～5 d，平均（3．9±0．8）d。术后出现并发症7例，其中血清肿3例，1个月后血清肿消失；术后疼痛4例，6个月后疼痛消失。随访6～48个月，无复发。结论应用TAPP 治疗腹股沟复发疝操作简便，术后并发症少，住院时间短，不易复发。
목적：탐토경복복막전산수보술（TAPP）재치료복고구복발산중적응용개치。방법회고성분석2010년1월지2014년1월，성도군구곤명총원응용 TAPP 치료복고구복발산35례적림상자료。결과35례 환 자 균 재 복 강 경 하 완 성 수 술，단측복발산수술시간20～45 min，평균（31±8）min，쌍측복발산수술시간35～60 min，평균（46．22±7．30）min。술중출혈량소，술후무복강감염、장점련급장경조，주원시간3 ～5 d，평균（3．9±0．8）d。술후출현병발증7례，기중혈청종3례，1개월후혈청종소실；술후동통4례，6개월후동통소실。수방6～48개월，무복발。결론응용TAPP 치료복고구복발산조작간편，술후병발증소，주원시간단，불역복발。
Objective To explore the clinical value of the application of transabdominal preperitoneal hernia repair (TAPP)in patients with recurrent inguinal hernia.Methods From January 201 0 to January 201 4,35 cases of recurrent inguinal hernia in Kunming General Hospital of Chengdu Military Region were treated with laparoscopic TAPP and their clinical data were analyzed retrospectively. Results The operations were successfully performed under laparoscope in all cases.The operative time was 20 to 45 minutes (mean of 31 ±8 minutes)for unilateral recurrent hernia and 35 to 60 minutes (mean of 46 ±7 minutes)for bilateral recurrent hernia.Few blood loss was found in the operation,and the duration of hospitalization stay was 3 to 5 days.No infection,intestinal adhesion and bowel obstruction occurred after operations.7 patients developed with complications,including 3 cases of seroma,which were disappeared in 1 month,and 4 cases of postoperative pain,released in 6 months.After the follow-up period of 6 to 48 months,no recurrence was found.Conclusion Laparoscopic TAPP for recurrent inguinal hernia is safe and effective,and has the advantages of less trauma,being easy to perform,rapid recovery and less recurrence.