腹腔鏡下應用3DMax補片行腹股溝疝修補術（附18例報道）_《中國普外基礎與臨床雜志》

作者：

祿韶英 , 佘軍軍 , 祁光裕 , 孫學軍

西安交通大學醫學院第一附屬醫院普外科(西安 710061);

關鍵詞：

腹股溝疝腹腔鏡腹股溝疝修補術復發

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目的評價3DMax補片在腹腔鏡下全腹膜外修補術(totally extraperitoneal,TEP)中修補腹股溝疝的價值。
方法回顧性分析我院2009年2～6月期間腹腔鏡下應用3DMax補片對18例腹股溝疝患者行TEP的臨床資料，分析其手術時間、住院時間、復發和并發癥發生情況。
結果 18 例患者中Ⅰ型疝3例，Ⅱ型疝4例，Ⅲ型疝9例，Ⅳ型疝2例；斜疝11例，直疝6例，股疝1例。成功完成腹腔鏡下TEP 17例。1例因疝內容物為末端回腸，與疝囊粘連并局部狹窄梗阻，中轉開放手術切除部分回腸。手術時間40～95 min，平均65.4 min。術后均未使用鎮痛劑，術后住院時間2～7 d，平均住院5.5 d。術后發生陰囊血清腫1例，經穿刺排液后愈合良好。隨訪1～6個月，無復發病例。
結論腹腔鏡下TEP具有創傷小、恢復快、復發率低等優點，采用預先成型的3DMax 補片使手術操作更加簡便。

引用本文： 祿韶英,佘軍軍,祁光裕,孫學軍. 腹腔鏡下應用3DMax補片行腹股溝疝修補術（附18例報道）. 中國普外基礎與臨床雜志, 2010, 17(9): 974-975. doi: 復制

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12.	Dulucq JL, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3 100 hernia repairs over 15 years [J]. Surg Endosc, 2009; 23(3): 482486.
13.	Mirilas P, Colborn GL, McClusky DA 3rd, et al. The history of anatomy and surgery of the preperitoneal space [J]. Arch Surg, 2005; 140(1): 9094.
14.	雷文章, 黃建朋. 腹膜前間隙無張力修補馬鞍疝的體會 [J]. 中國普外基礎與臨床雜志, 2009; 16(2): 9294.
15.	朱紹輝, 王建國. 巴德3DMax補片完全腹膜外腹腔鏡疝修補術21例報告 [J]. 中華疝和腹壁外科雜志(電子版), 2009; 3(3): 271274.

1. Read RC. Herniology: past, present, and future [J]. Hernia, 2009; 13(6): 577580.
2. Eklund A, Carlsson P, Rosenblad A, et al. Longterm costminimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair [J]. Br J Surg, 2010 Feb 24. DOI: 10.1002/bjs.6945.
3. 陳杰. 實用疝外科手術技巧 [M]. 北京：北京科學技術出版社， 2008: 79.
4. Zacharoulis D, Fafoulakis F, Baloyiannis I, et al. Laparoscopic transabdominal preperitoneal repair of inguinal hernia under spinal anesthesia: a pilot study [J]. Am J Surg, 2009; 198(3): 456459.
5. Smink DS, Paquette IM, Finlayson SR. Utilization of laparoscopic and open inguinal hernia repair: a populationbased analysis [J]. J Laparoendosc Adv Surg Tech A, 2009; 19(6): 745748.
6. Zhang H, Lin J, Liao Q, et al. Totally extraperitoneal laparoscopic hernioplasty: the optimal surgical approach [J]. Surg Laparosc Endosc Percutan Tech, 2009; 19(6): 501505.
7. Evans MD, Williams GL, Stephenson BM. Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5year followup [J]. Ann Surg, 2009; 250(2): 354355.
8. Maddern G, Karatassas A, Hensman C. Pain or gain: new innovations and trends in hernia repair [J]. ANZ J Surg, 2009; 79(11): 778780.
9. Van Nieuwenhove Y, Vansteenkiste F, Vierendeels T, et al. Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs [J]. Hernia, 2007; 11(1): 913.
10. Kurihara Y, Yamakawa T, Yoshino M, et al. Experience with direct Kugel patch method for repair of adult inguinal hernia [J]. J Nippon Med Sch, 2008; 75(1): 2831.
11. 向國安，陳開運, 王漢寧, 等. 完全腹膜化腹腔鏡腹腔內置片法與經腹腔腹膜前網片法治療腹股溝疝比較 [J]. 中國普外基礎與臨床雜志, 2007; 14(5): 521523.
12. Dulucq JL, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3 100 hernia repairs over 15 years [J]. Surg Endosc, 2009; 23(3): 482486.
13. Mirilas P, Colborn GL, McClusky DA 3rd, et al. The history of anatomy and surgery of the preperitoneal space [J]. Arch Surg, 2005; 140(1): 9094.
14. 雷文章, 黃建朋. 腹膜前間隙無張力修補馬鞍疝的體會 [J]. 中國普外基礎與臨床雜志, 2009; 16(2): 9294.
15. 朱紹輝, 王建國. 巴德3DMax補片完全腹膜外腹腔鏡疝修補術21例報告 [J]. 中華疝和腹壁外科雜志(電子版), 2009; 3(3): 271274.

《中國普外基礎與臨床雜志》

腹腔鏡下應用3DMax補片行腹股溝疝修補術（附18例報道）

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《中國普外基礎與臨床雜志》

腹腔鏡下應用3DMax補片行腹股溝疝修補術（附18例報道）

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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