【摘要】 目的探讨无钉合完全腹膜外腹腔镜疝修补术(TEP)的可行性和安全性。方法自2007年1～6月在全身麻醉下行无钉合完全腹膜外腹腔镜疝修补术共32例次(26例患者),其中双侧腹股沟疝6例,斜疝25例,直疝7例。结果手术全部成功,平均手术时间(76.8±23.8)min,平均术中出血量(8.3±4.6)mL,术后平均住院时间(2.7±1.2)d,恢复日常活动时间(5.2±1.3)d,术中腹膜破裂4例,术后阴囊血肿1例,无其他手术并发症。随访时间1～5个月,未见复发及腹股沟区慢性疼痛等并发症。结论无钉合TEP是一种可行、安全、有效的无张力疝修补技术,能明显降低手术费用并获得最佳卫生经济学效益,可减少腹股沟区慢性疼痛症状的发生。更多还原

【Abstract】 [Objective] To explore the feasibility and safety of laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh. [Method] Under general anesthesia, 26 patients with 32 inguinal hernias were repaired by laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh during the time from Jan 2007 to June 2007, including 6 cases of bilateral inguinal hernia, 25 cases of indirect inguinal hernia, 7 cases of direct inguinal hernia. [Results] All the operations were successful. The mean operation time was (76.8±23.8) min, the mean blood loss was (8.3±4.6) mL, the mean postoperative hospital stay was(2.7±1.2) d, and the mean duration to normal activities was (5.2±1.3) d. 4 cases had laceration of peritoneum during operation and 1 case had seroma of scrotum after operation, there were no other operation complications. No recurrence and no chronic pain in operation area were found during the follow-up of 1～5 months. [Conclusions] Laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh is a feasible, safe and efficient tension-free technique for ingunial hernia repair, it can decrease the cost of operation and offer the best clinical and cost-effective results. The procedure can also reduce the chance of chronic pain in ingunial hernia area.更多还原