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中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (01) : 83 -86. doi: 10.3877/cma.j.issn.1674-392X.2020.01.020

所属专题: 文献

单孔Port技术在腹壁疝全腹膜外Sublay修补术中的应用
吴卫东1,(), 王振林1   
  1. 1. 200080 上海交通大学附属第一人民医院普外中心胃肠外科
  • 收稿日期:2019-10-06 出版日期:2020-02-18
  • 通信作者: 吴卫东

SIL-TES in ventral hernia repair: A 5-case report

Weidong Wu1,(), Zhenlin Wang1   

  1. 1. Department of Gastrointestinal Surgery, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai 200080, China
  • Received:2019-10-06 Published:2020-02-18
  • Corresponding author: Weidong Wu
引用本文:

吴卫东, 王振林. 单孔Port技术在腹壁疝全腹膜外Sublay修补术中的应用[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(01): 83-86.

Weidong Wu, Zhenlin Wang. SIL-TES in ventral hernia repair: A 5-case report[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(01): 83-86.

目的

评价单孔Port技术应用于腹壁疝全腹膜外Sublay(TES)修补的可行性并总结手术经验。

方法

回顾性分析2019年5至7月,上海交通大学附属第一人民医院5例结合单孔Port的腹壁疝TES修补术患者的临床资料。所有患者经专家门诊随访,对术中和术后情况的数据进行搜集、整理和统计分析,并评价本组腹壁疝患者手术时间、观察术后引流量和并发症发生情况。

结果

所有腹壁疝患者均顺利完成手术,手术时间120~300(184.00±73.92)min,引流量少,无近期并发症,术后第1天疼痛视觉模拟评分(VAS)(1.00±0.63)分,第14天VAS(1.20±1.17)分。

结论

利用Port减孔和单孔手术可以进行腹壁疝TES修补术。单孔Port技术与TES结合,可以给腹壁疝患者更多微创选择。

Objective

In abdominal hernia repair field, the concept of "Ashes to ashes, dust to dust" has been widely supported in recent years. Endoscopic sublay repair (ESR) surgery which combined the advantages of endoscopic and Sublay repair has been gradually carried out all over the world. In the meantime, Single incisional laparoscopic (SIL) was brought to the forefront because of its reducing abdominal wall trauma by less puncture, relieving pain and promoting postoperative recovery, hiding scars to meet patients' psychological needs, as well as improving surgeons' skills. It is a beneficial attempt to combine both technique (SIL-TES). This paper summarizes our experience of SIL-TES.

Methods

Report our 5 cases of SIL-TES for ventral hernia from May 2019 to July 2019 in Shanghai General Hospital. Evaluate the operation time and observe the postoperative drainage volume and complications.

Results

All surgeries were successfully done, operation time was 120 to 300 minutes [mean of (184±73.92) min, and there was no recent postoperative complications. The postoperative pain scores was (1.0±0.6) and (1.20±1.17), respectively, on the 1st day and the 14th day after the operation.

Conclusion

SIL-TES for ventral hernia with reduced port and single port access is not only a safe and reliable procedure for surgeon, but also affords another minimally invasive option for ventral hernia patients.

表1 5例腹壁疝患者一般资料和术中情况
图1 病例1,女性,69岁,因卵巢癌术后18个月,切口疝修补术后8个月,修补无效入院,行减孔TES术。放置Port和辅助套管
图2 同病例1,腹腔镜建立空间和游离疝囊
图3 同病例1,腹腔镜腹膜破口的处理
图4 同病例1,腹腔镜显露缺损和倒刺线关闭缺损
图5 同病例1,腹腔镜放置补片和引流
图6 病例2,女性,59岁,右下腹壁可复性包块2年入院,行单孔TES术。术后1个月随访情况
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