【摘要】 目的:总结腹腔镜治疗小儿腹股沟斜疝的经验。方法:回顾分析本院从1998年3月-2011年3月,使用腹腔镜配合本院自行设计的针型器械,采用腹膜外结扎内环口的方法治疗小儿腹股沟斜疝7 000例患儿的临床资料。结果:7 000例均经腹腔镜下完成,手术时间2～13 min,平均时间(8.2±3.3)min,随访3个月～12年,复发76例(其中术后交通性疝囊积液11例),术中发现对侧鞘状突未闭1 625例,发现率23%,术后结扎线线头反应58例,脐上方切口大网膜疝出26例。结论:腹腔镜治疗小儿腹股沟斜疝创伤小、恢复快、手术时间短、伤口美观、复发率低、并有术中探查的优势,值得推广。更多还原

【Abstract】 Objective:To summarize and share our experience with laparoscopic repair for indirect inguinal hernia in children.Methods:We reviewed the clinical data of 7000 children who received extraperitoneal ligation of inguinal ring by using laparoscopy and home-made instruments in our hospital between March 1998 and March 2011.Results:All the 7000 cases were successfully treated with laparoscopy.The operating time ranged from 2 to 13 minutes(mean = 7 min).There were 76 relapsing cases during a follow-up of 3 months to 12years,including 11 cases of scrotal hydrocele.At surgery,1625 children(23%) were found to have patency of the contralateral processus vaginalis.Suture reactions were developed in 58 children and omental herniation through supraumbilical wound in 26.Conclusion:Laparoscopic repair for inguinal hernia in children could be characterized by advantages of minimal invasion,faster recovery,shorter operating time,good cosmetics,less recurrence and readiness for intra-operative exploration,and thereby warrants its widespread use.更多还原