CAJ | 학술논문

目的：探索腹腔镜下实施腹膜外腹股沟疝修补术的临床安全性和有效性。方法回顾性分析27例实施腹膜外腹腔镜腹股沟疝修补术（TEP）患者的临床资料。结果27例腹股沟疝都成功进行了腹腔镜下 T EP ，无一例中转开腹，单侧手术时间48～115min ，平均53．20min ，双侧手术时间76～130min ，平均94min ，出血量11～58ml ，平均17．6ml。术后住院时间2～7d ，平均4．1d。患者术后出现腹股沟区血肿或血清肿3例，阴囊气肿1例。术后出现神经感觉异常2例，经对症治疗后消失。随访6～18个月，未发现腹股沟区慢性疼痛及不适者，无腹股沟疝复发。结论腹腔镜下腹膜外腹股沟疝修补术临床效果好，并发症少，近期复发率低，不易损伤神经，可同时完成双侧疝修补，值得基层医院推广应用。
목적：탐색복강경하실시복막외복고구산수보술적림상안전성화유효성。방법회고성분석27례실시복막외복강경복고구산수보술（TEP）환자적림상자료。결과27례복고구산도성공진행료복강경하 T EP ，무일례중전개복，단측수술시간48～115min ，평균53．20min ，쌍측수술시간76～130min ，평균94min ，출혈량11～58ml ，평균17．6ml。술후주원시간2～7d ，평균4．1d。환자술후출현복고구구혈종혹혈청종3례，음낭기종1례。술후출현신경감각이상2례，경대증치료후소실。수방6～18개월，미발현복고구구만성동통급불괄자，무복고구산복발。결론복강경하복막외복고구산수보술림상효과호，병발증소，근기복발솔저，불역손상신경，가동시완성쌍측산수보，치득기층의원추엄응용。
Objective To explore the clinical safety and effectiveness of laparoscopic inguinal hernia re‐pair .Methods The clinical data of 27 cases of laparoscopic inguinal hernia repair (TEP) were retrospective‐ly analyzed .Results 27 cases of inguinal hernia were successfully performed laparoscopic TEP ,without a case of conversion to open surgery ,unilateral operation time of 48 ~ 115min ,average 53 .20min ,bilateral operation time 76~130min ,average 94min ,blood loss of 11 ~ 58ml ,an average of 17 .6ml .T he hospital stay was 2 to 7d ,with an average of 4 .1d .Developed groin hematoma or seroma after surgery in 3 cases , 1 cases of scrotal emphysema .2 cases of postoperative nerve sensory abnormalities ,after symptomatic treatment disappeared .Follow up for 6 ~ 18 months ,without chronic pain in the groin area and the dis‐covery ,no recurrence of inguinal hernia .Conclusion The clinical effect of laparoscopic inguinal hernia re‐pair is good ,the complication is few ,the recent recurrence rate is low ,and it is not easy to damage nerve , and can simultaneously complete bilateral hernia repair .