CAJ | 학술논문

目的:探讨免钉合完全腹膜外腹腔镜疝修补术的可行性和安全性. 方法:选择完全腹膜外腹腔镜疝修补术( totally laparoscopic extraperitoneal herniorrhaphy,TEP)患者37例,术中行不固定补片治疗,观察患者的治疗效果及并发症发生情况. 结果:37例均成功行免钉合TEP(non-stapling TEP,n-TEP). 术区疼痛率为10. 8%,均未使用止痛药;平均住院时间4. 5 d. 主要并发症为腹股沟血肿2例,阴囊积液或气肿2例. 随访3~6个月,无腹股沟区慢性疼痛及疝复发等并发症发生. 结论:n-TEP是安全可行的无张力疝修补术,可减少患者痛苦,具有较好的临床价值.
목적:탐토면정합완전복막외복강경산수보술적가행성화안전성. 방법:선택완전복막외복강경산수보술( totally laparoscopic extraperitoneal herniorrhaphy,TEP)환자37례,술중행불고정보편치료,관찰환자적치료효과급병발증발생정황. 결과:37례균성공행면정합TEP(non-stapling TEP,n-TEP). 술구동통솔위10. 8%,균미사용지통약;평균주원시간4. 5 d. 주요병발증위복고구혈종2례,음낭적액혹기종2례. 수방3~6개월,무복고구구만성동통급산복발등병발증발생. 결론:n-TEP시안전가행적무장력산수보술,가감소환자통고,구유교호적림상개치.
Objective:To explore the feasibility and safety of totally laparoscopic extraperitoneal herniorrhaphy with non-stapling devices. Methods:37 patients treated with totally laparoscopic extraperitoneal herniorrhaphy with non-stapling devices were chosen, with the efficacy of the treatment and the complications observed. Results:All the operations were successfully completed. The pain rate of the operating area is 10. 8%, with no analgesics used at all. The average length of stay was 4. 5 d. The main complications were 2 cases of in-guinal hematoma and 2 cases of scrotal effusion or emphysema. After being followed up for 3~6 months, they didn't develop any chronic pain in the groins and complications such as hernia recurrence. Conclusion:Non-stapling TEP ( n-TEP) is a feasible and safe tech-nique for tension-free hernioplasty, which can reduce the patients' pain, having a high clinical practical value.