【摘要】 目的:探讨免气囊分离器完全腹膜外腹腔镜腹股沟疝修补术(totally extraperitoneal repair,TEP)的可行性、手术技巧和临床经验。方法:2005年6月至2007年5月为21例患者(23侧)行腹股沟疝免气囊分离器TEP,其中斜疝21侧,直疝、股疝各1侧。结果:所有患者均顺利完成手术,平均手术时间70min,术中平均出血16ml,术后平均住院5d。发生腹壁下血管游离5例次,腹壁气肿5例次,血肿或血清肿4例次,腹膜破损与神经感觉异常各3例次,膀胱损伤1例次。随访2~24个月,无复发。结论:免气囊分离器TEP安全可行,手术难点是正确分离腹膜外置入网片的腔隙。更多还原

【Abstract】 Objective:To explore the feasibility,operative skills and the experience of totally extraperitoneal repair(TEP) of inguinal hernia without using a dissection balloon.Methods:During June 2005 to May 2007,21 patients were performed 23 totally laparoscopic extraperitoneal hernia repairs for inguinal hernia without employing a dissection balloon,including 21 indirect inguinal hernia,1 direct inguinal hernia and 1 femoral hernia operations.Results:All patients were performed the operation successfully.The mean operating duration was 70min,the mean operative blood loss was 16ml,the mean postoperative hospital stay was 5 days.The epigastric vessels was torn off by avulsion in 5 cases,the emphysema in abdominal wall was formed in 5 cases,the hematoma or seroma appeared in 4 cases,the peritoneal laceration and the abnormal sense of nerve occurred in 3 cases,and one case had bladder injury.The patients were followed up for 2~24 months,no recurrence occurred.Conclusions:TEP without using dissection balloon is safe and feasible.The key process is that the extraperitoneal space must be separated accurately in order to lay the mesh.更多还原