CAJ | 학술논문

目的：探讨使用腹腔镜下行胆囊切除（LC）联合疝修补术（TAPP）的临床应用。方法选取2008至2013年来我院就诊的胆囊疾病合并腹股沟疝的患者21例，均使用腹腔镜下胆囊切除联合疝修补术，其中LC联合单侧腹股沟斜疝TAPP修补15例，LC联合双侧腹股沟斜疝修补2例，LC联合单侧直疝3例、双侧腹股沟直疝1例，术前确诊16例，术中意外发现5例，对其临床资料进行回顾性分析。结果本组研究手术均成功完成，无一例中转开腹，手术平均时间为（90±25）min，术后无明显并发症发生，术后平均住院时间为5±2 d），出院后随访12-36个月均无复发。结论使用腹腔镜同时行胆囊切除及腹股沟疝修补术具有创伤小、手术时间短、痛苦小、术后并发症少、患者恢复快的优点，可在临床广泛开展。
목적：탐토사용복강경하행담낭절제（LC）연합산수보술（TAPP）적림상응용。방법선취2008지2013년래아원취진적담낭질병합병복고구산적환자21례，균사용복강경하담낭절제연합산수보술，기중LC연합단측복고구사산TAPP수보15례，LC연합쌍측복고구사산수보2례，LC연합단측직산3례、쌍측복고구직산1례，술전학진16례，술중의외발현5례，대기림상자료진행회고성분석。결과본조연구수술균성공완성，무일례중전개복，수술평균시간위（90±25）min，술후무명현병발증발생，술후평균주원시간위5±2 d），출원후수방12-36개월균무복발。결론사용복강경동시행담낭절제급복고구산수보술구유창상소、수술시간단、통고소、술후병발증소、환자회복쾌적우점，가재림상엄범개전。
Objective To investigate the use of laparoscopic cholecystectomy (LC) combined with hernia repair (TAPP) in clinical application. Methods 21 cases were selected from 2008 to 2013 in our hospital for treatment of galbladder disease with inguinal hernia, are the use of laparoscopic cholecystectomy combined with hernia repair, among them LC and unilateral inguinal hernia repair in 15 cases of TAPP, LC combined with bilateral indirect inguinal hernia repair in 2 cases, 3 cases of direct LC and unilateral, bilateral inguinal hernia in 1 cases, 16 cases of preoperative diagnosis, intraoperative accidents were found in 5 patients, and the clinical data were retrospectively analyzed. Results in this group of operation was successfuly performed, no cases were converted to laparotomy, the average time of operation was (90 ± 25) min, there was no complication after operation, the average postoperative hospital stay was 5 with 2 D soil), were folowed up for 12-36 months showed no recurrence. Conclusion the use of laparoscopic cholecystectomy and the inguinal hernia repair has the advantages of little trauma, short operation time, less pain, fewer complications, patients recover quickly, and can be widely developed in clinic.