探讨腹腔镜腹腔内补片置入术行半月线疝修补的临床效果。

2010年10月至2016年12月，复旦大学附属中山医院闵行分院在腹腔镜下对11例半月线疝患者进行修补治疗。手术采用超声刀进行疝环周围组织分离后，应用螺旋钉联合补片四角悬吊将防粘补片固定覆盖疝环完成半月线疝修补术。分析总结腹腔镜腹腔内补片置入术行半月线疝修补的临床效果。

11例患者均成功地在腹腔镜下行腹腔内补片置入无张力半月线疝修补术。手术时间30～60 min，平均40 min。术中出血10～20 ml，平均15 ml。患者术后排气、排便时间18～30 h，平均25 h。术后住院3～7 d，平均5.5 d。住院期间均未发生感染，无手术副损伤和死亡病例，2例患者发生血清肿。所有患者均获随访，时间6～50个月，未发现复发病例。

腹腔镜腹腔内补片置入术修补半月线疝具有创伤小、恢复快、并发症少等优点，符合疝无张力修补原则。

To investigate the clinical effects of the application of laparoscopic intraperitoneal onlay mesh in spigelian hernia repair.

Form October 2010 to December 2016, 11 patients with spigelian hernia were repaired with laparoscopic intraperitoneal onlay mesh in Minhang branch of Zhongshan Hospital of Fudan University. The efficacy of this procedures were analyzed retrospectively.

The tension-free repairing operations were performed successfully under laparoscope in all cases. The operative time was 30 to 60 minutes (mean 40 minutes), and the mean blood loss was 15 mL. No operative death and infection occurred postoperatively. The mean postoperative hospital stay was 5.5 days. Seroma occurred in 2 cases. There was no recurrence observed during 6 to 50 months of follow-up.

Application of laparoscopic intraperitoneal onlay mesh in spigelian hernia repair has advantages such as less trauma, rapid recovery, fewer complications and is in line with the principle of tension-free repair for hernia.