CAJ | 학술논문

目的：探讨经腹腹膜前疝修补术（TAPP）的可行性和安全性。方法回顾性分析2013年6月至2014年4月，曲靖市麒麟区人民医院收治腹股沟疝患者45例的临床资料，均在全身麻醉下行 TAPP 手术，观察手术时间、术后住院时间、术后并发症及复发情况。结果45例患者手术均获成功，平均手术时间（83±18）min，术后平均住院时间（2．0±1．0）d，术后腹股沟区血肿或积液9例，术后随访5～10个月，术后1个月内复发1例，无远期复发，未见腹股沟区慢性疼痛等并发症。结论TAPP 治疗腹股沟疝是一种安全有效的无张力疝修补技术。
목적：탐토경복복막전산수보술（TAPP）적가행성화안전성。방법회고성분석2013년6월지2014년4월，곡정시기린구인민의원수치복고구산환자45례적림상자료，균재전신마취하행 TAPP 수술，관찰수술시간、술후주원시간、술후병발증급복발정황。결과45례환자수술균획성공，평균수술시간（83±18）min，술후평균주원시간（2．0±1．0）d，술후복고구구혈종혹적액9례，술후수방5～10개월，술후1개월내복발1례，무원기복발，미견복고구구만성동통등병발증。결론TAPP 치료복고구산시일충안전유효적무장력산수보기술。
Objective To evaluate the feasibility and safety of laparoscopic transabdominal preperitoneal hernia repair (TAPP).Methods A total of 45 patients with inguinal hernia in People′s Hospital of Qujing Qilin District who underwent TAPP under general anesthesia,from June 201 3 to April 201 4,were enrolled in this retrospective study.The operation time,complication,length of stay and recurrence rate were recorded.Results All of the operations were successful.The mean operation time was (83 ±1 8 ) minutes,the mean postoperative hospital stay was (2.0 ±1 .0 ) days,and the inguinal hematoma /seroma occurred in 9 cases.After a follow-up of 5 to 1 0 months,a case of short-term recurrence was found at 1 month after the operation.While no long-term recurrence and no chronic pain in inguinal area were observed.Conclusion TAPP is a safe,feasible and effective tension-free repair for inguinal hernia.