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中华疝和腹壁外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 415 -418. doi: 10.3877/cma.j.issn.1674-392X.2023.04.010

论著

3D腹腔镜在成人腹股沟疝腹腔镜经腹腹膜前修补术中的应用及疗效观察
包文中(), 江鸣, 汪杰, 汤大纬, 高森, 杨仁保, 李良, 熊茂明, 孟翔凌   
  1. 230011 安徽医科大学附属合肥医院 合肥市第二人民医院广德路院区普外科
    230011 合肥,安徽医科大学第一附属医院普外科
  • 收稿日期:2022-11-19 出版日期:2023-08-18
  • 通信作者: 包文中
  • 基金资助:
    蚌埠医学院自然科学科研基金(2020byzd294)

Application and effect of 3D laparoscopy in adult laparoscopic transabdominal preperitoneal inguinal hernia repair

Wenzhong Bao(), Ming Jiang, Jie Wang, Dawei Tang, Sen Gao, Rengbao Yang, Liang Li, Maoming Xiong, Xiangling Meng   

  1. Department of Surgery, Guangde Road Yaohai District, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, China
    Department of Surgery, the First Affiliated Hospital Anhui Medical University, Hefei 230031, China
  • Received:2022-11-19 Published:2023-08-18
  • Corresponding author: Wenzhong Bao
引用本文:

包文中, 江鸣, 汪杰, 汤大纬, 高森, 杨仁保, 李良, 熊茂明, 孟翔凌. 3D腹腔镜在成人腹股沟疝腹腔镜经腹腹膜前修补术中的应用及疗效观察[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(04): 415-418.

Wenzhong Bao, Ming Jiang, Jie Wang, Dawei Tang, Sen Gao, Rengbao Yang, Liang Li, Maoming Xiong, Xiangling Meng. Application and effect of 3D laparoscopy in adult laparoscopic transabdominal preperitoneal inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(04): 415-418.

目的

对比观察使用3D腹腔镜联合自固定补片在成人腹股沟疝腹腔镜腹膜前修补中的效果。

方法

回顾性分析合肥市第二人民医院2019年9月至2022年1月共80例腹股沟疝患者资料,依使用腹腔镜不同分为3D腹腔镜组和2D腹腔镜组,观察两组患者行腹腔镜腹膜前疝修补术的住院时间、手术时间、术后疼痛等情况。

结果

3D腹腔镜组与2D腹腔镜组的手术时间分别为(68.35±11.48)min和(74.47±12.56)min,采用3D腹腔镜联合自固定补片较普通腹腔镜行TAPP手术时间更短,两组间差异有统计学意义(P<0.05)。术后住院时间、自主活动时间、肠鸣音恢复时间3D腹腔镜组分别为(5.12±1.38)d、(24.56±3.68)h、(7.48±2.18)h,2D腹腔镜组为(5.04±1.44)d、(23.89±3.54)h、(7.58±2.13)h,两组比较差异无统计学意义(P>0.05)。两组的疼痛视觉模拟评分在术前,术后1 d、1周、1个月、3个月比较,差异均无统计学意义(P>0.05)。

结论

成人腹股沟疝采用3D腹腔镜联合自固定补片腹膜前修补可以缩短手术时间。

Objective

To compare and observe the effect of 3D laparoscopy combined with self-fixation mesh in adult laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP).

Methods

The data of 80 adult patients with inguinal hernia in the Second People's Hospital of Hefei from September 2019 to January 2022 were analyzed retrospectively. They were divided into 3D laparoscopy group and 2D laparoscopy group according to different laparoscopy. The hospitalization time, operation time, postoperative pain and other conditions of the patients undergoing TAPP in the two groups were observed.

Results

The operation time of 3D laparoscopy group and 2D laparoscopy group was (68.35±11.48) min and (74.47±12.56) min, respectively. The operation time of TAPP with 3D laparoscopy combined with self-fixation mesh was shorter than that with conventional laparoscopy, and there was a statistically significant difference between the two groups (P<0.05). Postoperative hospitalization time, autonomous activity time and bowel sounds recovery time were (5.12±1.38) d, (24.56±3.68) h, (7.48±2.18) h in the 3D group and (5.04±1.44) d, (23.89±3.54) h, (7.58±2.13) h in the 2D group, respectively. There was no significant difference between the two groups (P>0.05). There was no significant difference in pain visual analogue scale scores between the two groups before operation, 1 day, 1 week, 1 month, and 3 months after operation (P>0.05).

Conclusion

3D laparoscopy combined with self-fixation mesh for TAPP in adults can shorten the operation time.

表1 两组患者术前一般资料比较[例(%)]
表2 两组患者手术资料比较(±s
表3 两组患者术后不同时间疼痛视觉模拟评分比较(±s
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