【摘要】 目的探讨经脐双孔法腹腔镜治疗小儿腹股沟斜疝的临床应用价值。方法总结经脐双孔法腹腔镜治疗750例小儿腹股沟斜疝的手术方法及临床疗效。结果手术全部在腹腔镜下完成,每侧疝手术时间5～15 min,平均7 min。715例患儿得到随访,随访率为95．3%,术后随访6～24个月,发现阴囊积气3例,脐戳孔大网膜疝3例,术后伤口线头异物反应4例,术后疝复发6例,无死亡病例。结论经脐双孔法腹腔镜治疗小儿腹股沟斜疝是一种安全、简易、有效的手术方法,其美容效果极好,手术并发症发生少,值得临床推广应用。更多还原

【Abstract】 Objective To evaluate laparoscopic indirect inguinal herniorrhaphy in children by trans-umbilical dual-port methods. Methods Trans-umbilical dual-port laparoscopic herniorrhaphy was performed in 750 paediatric patients. The clinical data were analyzed retrospectively. Results The laparscopic operation was successful in all cases. The operative time in one hernia was 5～15 minutes. Follow-up was made in 715 patients (95.3%). During the inpatient’s observation and 6～24 months postoperative follow-up, the scrotum hydrocele developed in 3 cases, colic omentum hernia in umbilicus-port in 3 cases, postoperative suture repellent reaction in 4 cases, postoperative recurrences of hernia was found in 6 cases (0.8%). Conclusions Laparoscopic treatment of indirect inguinal hernia in children by trans- umbilical dual-port methods is safe, simple, effective with better cosmetic result than traditional herniorrhaphy.更多还原