【摘要】 目的探讨经脐双孔(单线单结)法腹腔镜治疗小儿腹股沟斜疝的经验体会。方法总结经脐双孔(单线单结)法腹腔镜治疗172例小儿腹股沟斜疝的手术方法及临床疗效。结果全部172例均在腹腔镜下完成,其中斜疝嵌顿急诊手术28例,全部患儿每侧疝手术时间8～20min,平均13min,术后1～4d出院,平均2.6d。随访137例患儿,随访率为79.65%,术后随访4～22个月,发现阴囊积气1例,内环口周围腹壁血肿2例,术后疝复发1例,无死亡患儿。结论经脐双孔(单线单结)法腹腔镜治疗小儿腹股沟斜疝具有手术安全、操作简单、疗效显著、并发症少、切口隐蔽美观,可同时处理隐匿性疝,值得临床推广的手术方法。更多还原

【Abstract】 Objective To evaluate laparoscopic indirect inguinal herniorrhaphy in children by trans-umbilical dual-port methods(one suture one knot).Methods Trans-umbilical dual-port(one suture one knot methods)laparoscopic herniorrhaphy was performed in 172 paediatric patients.The clinical data were analyzed retrospectively.Results The laparoscopic operation was successful in all cases including 28 patients with acutely incarcerated inguinal hernia.The operative time in one hernia was 8～20 minutes(averaged 13 minutes)and the postoperative hospitalization time was 1～4d(averaged 2.6d).Follow-up was made in 137 patients(79.65%).During the patients′ 4～22 months postoperative follow-up,the scrotal product gas was found in 1 patient,hematoma of abdominal wall around the internal orifice in 2 cases and only 1 patient recurred with no deaths.Conclusion Trans-umbilical dual-port(one suture one knot methods)laparoscopic herniorrhaphy in children′s indirect inguinal hernia has advantages of safety,simplicity of operation,definite effectiveness,less complications and concealed and beautiful incision.This technique can also detect a hiding hernia on the opposite side during operation.更多还原