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中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 209 -212. doi: 10.3877/cma.j.issn.1674-392X.2020.03.001

所属专题: 文献

综述

髂腹股沟区血管解剖特点及腹腔镜下腹股沟疝无张力修补术血管损伤的应对技巧
张明逸1, 陈以宽1,()   
  1. 1. 400010 重庆医科大学附属第二医院血管疝腹壁外科
  • 收稿日期:2019-12-21 出版日期:2020-06-18
  • 通信作者: 陈以宽

Vascular anatomical characteristics in iliac inguinal region and vascular injury management in laparoscopic inguinal hernia repair

Mingyi Zhang1, Yikuan Chen1,()   

  1. 1. Department of Vascular, Hernia and Abdominal Surgery, Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
  • Received:2019-12-21 Published:2020-06-18
  • Corresponding author: Yikuan Chen
  • About author:
    Corresponding author: Chen Yikuan, Email:
引用本文:

张明逸, 陈以宽. 髂腹股沟区血管解剖特点及腹腔镜下腹股沟疝无张力修补术血管损伤的应对技巧[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(03): 209-212.

Mingyi Zhang, Yikuan Chen. Vascular anatomical characteristics in iliac inguinal region and vascular injury management in laparoscopic inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 209-212.

近年来,腹腔镜下腹股沟疝修补术在临床中得到越来越多的应用。血管损伤是常见而严重的术中并发症,其发生通常与术者对腹腔镜下腹股沟区的血管解剖认知不足有关。本文详细解析了腹股沟区在腔镜手术路径下的主要血管解剖,同时结合文献报道及自身体会,对腹腔镜经腹腹膜前疝修补术和腹腔镜完全腹膜外疝修补术中,各主要血管损伤的易发因素、处理技巧及方法进行了描述。

Laparoscopic inguinal hernia repair was widely used in recently decades. Vascular injury was one of the common and serious complications. The occurrence of vascular injury was mainly related to the shortage of awareness on blood vessel anatomy in inguinal area. The present article interpreted the anatomy of main blood vessels on the surgical approach. Meanwhile, according to literature reports and author's experience, the article paid the attention on risk factors, treatment skills and methods of vascular injury during laparoscopic trans-abdominal preperitoneal hernia repair and laparoscopic totally extra-peritoneal hernia repair inguinal hernia repair.

图1 左侧腹股沟区腹膜前间隙主要血管
图2 Rutkow术后腔镜所见复发直疝及网塞补片
图3 右侧闭孔疝合并股疝患者,腔镜下见死亡冠血管
图4 右侧髂静脉损伤后出血
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