切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 207 -209. doi: 10.3877/cma.j.issn.1674-392X.2019.03.004

所属专题: 文献

论著

疝囊横断法在腹腔镜完全腹膜外疝修补术中对疝囊的处理效果
王祥琨1, 许国梁1,()   
  1. 1. 246003 安徽省,安庆市立医院普外科
  • 收稿日期:2018-12-20 出版日期:2019-06-18
  • 通信作者: 许国梁

Analysis of the effect of transection of hernia sac in laparoscopic totally extraperitoneal inguinal hernia repair

Xiangkun Wang1, Guoliang Xu1,()   

  1. 1. Department of Surgery, Anqing Municipal Hospital, Anhui, Anqing 246003, China
  • Received:2018-12-20 Published:2019-06-18
  • Corresponding author: Guoliang Xu
引用本文:

王祥琨, 许国梁. 疝囊横断法在腹腔镜完全腹膜外疝修补术中对疝囊的处理效果[J/OL]. 中华疝和腹壁外科杂志(电子版), 2019, 13(03): 207-209.

Xiangkun Wang, Guoliang Xu. Analysis of the effect of transection of hernia sac in laparoscopic totally extraperitoneal inguinal hernia repair[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(03): 207-209.

目的

探讨疝囊横断法在腹腔镜完全腹膜外疝修补术(totally extraperitoneal prosthetic,TEP)中的效果。

方法

选取2015年12月至2018年3月,安庆市立医院收治的82例腹股沟疝患者为研究对象,回顾性分析其临床资料。所有患者均行TEP,观察组(40例)术中采用疝囊横断法,对照组(42例)术中完全剥离疝囊,术后定期随访3个月。比较2组手术时间、疝囊剥离时间、术中出血量、术后住院时间及住院费用等,记录术后随访期间2组并发症发生情况。

结果

观察组手术时间、疝囊剥离时间、术后住院时间显著短于对照组,住院费用显著少于对照组,差异均具有统计学意义(P均<0.05),术中出血量、肛门排气时间和术后并发症发生率与对照组比较,差异无统计学意义(P均>0.05)。

结论

疝囊横断法在TEP中的临床效果优于完全剥离疝囊法,可缩短手术时间与疝囊剥离时间,患者术后康复较快。

Objective

To explore the effect of transection of hernia sac in laparoscopic totally extraperitoneal inguinal hernia repair (TEP).

Methods

82 patients with inguinal hernia treated in Anqing Municipal hospital from December 2015 to March 2018 were selected as the study subjects, and their clinical data were retrospectively analyzed. All patients underwent TEP. The observation group (n=40) was treated with transection of hernia sac during operation, while the control group (n=42) was treated with complete dissection of hernia sac during operation. The two groups were followed up regularly for 3 months after operation. The time of operation, the time of dissection of hernia sac, the amount of intraoperative bleeding, the time of hospitalization and the cost of hospitalization were compared between the two groups; The occurrence of complications in the two groups during the follow-up period were recorded.

Results

The operation time, hernia sac dissection time and hospitalization time after operation in the observation group were significantly shorter than those in the control group, and the hospitalization expenses were significantly less than those in the control group (P<0.05). There was no significant difference in the amount of bleeding during operation and the time of anal exhaust between the two groups (P>0.05); there was no significant difference in the incidence of complications between the two groups (P>0.05).

Conclusion

The clinical effect of transection of hernia sac in TEP is better than that of complete dissection of hernia sac. It can shorten the time of operation and dissection of hernia sac. The patient recovers quickly after operation, so it is worth popularizing and applying.

表1 2组患者手术相关指标比较(±s
表2 2组患者术后并发症发生情况比较
[1]
岳万勇,姜华,农国旺, 等. 改良小儿腹腔镜下腹股沟疝疝囊高位结扎术的临床应用[J]. 昆明医科大学学报, 2016, 37(11): 126-129.
[2]
Moris D, Michalinos A, Vernadakis S. Endometriosis in a spigelian hernia sac: an unexpected finding[J]. Int Surg, 2015, 100(1): 109-111.
[3]
孙运璇,毕洁亮,孙宁宁, 等. 腹腔镜经腹腹膜前横断疝囊法治疗Ⅲ型腹股沟疝[J]. 腹腔镜外科杂志, 2015, 20(4): 296-299.
[4]
周海军,沈彬,肖卫星, 等. 疝囊横断法在腹腔镜全腹膜外疝修补术中的应用体会[J]. 腹腔镜外科杂志, 2016, 21(4): 316-317.
[5]
Shalaby R, Ismail M, Samaha A, et al. Laparoscopic inguinal hernia repair; experience with 874 children[J]. J Pediatr Surg, 2014, 49(3): 460-464.
[6]
蔡涛,吴锋,刘芳. 腹股沟疝修补术应用腹腔镜与开腹手术的临床效果比较(附120例报告)[J]. 贵州医药, 2015, 39(1): 37-39.
[7]
Zhu X, Cao H, Ma Y, et al. Totally extraperitoneal laparoscopic hernioplasty versus open extraperitoneal approach for inguinal hernia repair: a meta-analysis of outcomes of our current knowledge[J]. Surgeon, 2014, 12(2): 94-105.
[8]
Shah NS, Fullwood C, Siriwardena AK, et al. Mesh fixation at laparoscopic inguinal hernia repair: a meta-analysis comparing tissue glue and tack fixation[J]. World J Surg, 2014, 38(10): 2558-2570.
[9]
陈有望,徐旭,孙旭, 等. 小儿腹股沟斜疝术后膀胱破裂2例[J]. 贵州医科大学学报, 2016, 41(2): 246-246.
[10]
Liem MS, van der Graaf Y, Zwart RC, et al. A randomized comparison of physical performance following laparoscopic and open inguinal hernia repair. The Coala Trial Group[J]. Br J Surg, 2015, 84(1): 64-67.
[11]
Othman I, Hady HA. Hernia sac of indirect inguinal hernia: invagination, excision, or ligation?[J]. Hernia, 2014, 18(2): 199-204.
[12]
Niu X, Song X, Su A, et al. Low-pressure capnoperitoneum reduces stress responses during pediatric laparoscopic high ligation of indirect inguinal hernia sac: a randomized controlled study[J]. Medicine, 2017, 96(14): e6563-e6563.
[13]
成晓舟,屈坤鹏,景恩义, 等. 腹腔镜经腹腹膜前疝修补术中采用疝囊剥离与横断处理治疗Ⅲ型腹股沟疝的对比研究[J]. 腹腔镜外科杂志, 2016, 21(10): 780-782.
[14]
Kao CY, Li CL, Lin CC, et al. Sac ligation in inguinal hernia repair: A meta-analysis of randomized controlled trials[J]. Int J Surg, 2015, 19: 55-60.
[1] 李国新, 陈新华. 全腹腔镜下全胃切除术食管空肠吻合的临床研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 1-4.
[2] 李子禹, 卢信星, 李双喜, 陕飞. 食管胃结合部腺癌腹腔镜手术重建方式的选择[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 5-8.
[3] 李乐平, 张荣华, 商亮. 腹腔镜食管胃结合部腺癌根治淋巴结清扫策略[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 9-12.
[4] 陈方鹏, 杨大伟, 金从稳. 腹腔镜近端胃癌切除术联合改良食管胃吻合术重建His角对术后反流性食管炎的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 15-18.
[5] 许杰, 李亚俊, 韩军伟. 两种入路下腹腔镜根治性全胃切除术治疗超重胃癌的效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 19-22.
[6] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[7] 任佳, 马胜辉, 王馨, 石秀霞, 蔡淑云. 腹腔镜全胃切除、间置空肠代胃术的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 31-34.
[8] 赵丽霞, 王春霞, 陈一锋, 胡东平, 张维胜, 王涛, 张洪来. 内脏型肥胖对腹腔镜直肠癌根治术后早期并发症的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 35-39.
[9] 李博, 贾蓬勃, 李栋, 李小庆. ERCP与LCBDE治疗胆总管结石继发急性重症胆管炎的效果[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 60-63.
[10] 韩戟, 杨力, 陈玉. 腹部形态CT参数与完全腹腔镜全胃切除术术中失血量的关系研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 88-91.
[11] 王露, 周丽君. 全腹腔镜下远端胃大部切除不同吻合方式对胃癌患者胃功能恢复、并发症发生率的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 92-95.
[12] 冯旺, 马振中, 汤林花. CT扫描三维重建在肝内胆管细胞癌腹腔镜肝切除术中的临床研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 104-107.
[13] 王庆亮, 党兮, 师凯, 刘波. 腹腔镜联合胆道子镜经胆囊管胆总管探查取石术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 313-313.
[14] 杨建辉, 段文斌, 马忠志, 卿宇豪. 腹腔镜下脾部分切除术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 314-314.
[15] 叶劲松, 刘驳强, 柳胜君, 吴浩然. 腹腔镜肝Ⅶ+Ⅷ段背侧段切除[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 315-315.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?