腹腔镜下自制套管针与传统手术治疗小儿腹股沟疝的对比研究_West China Medical Journal

Authors：

 王云汉 ¹ ,  杨进 ¹ , 李娜 ²

1. ;
2. ;

Corresponding author：

杨进, Email: 5458839@qq.com

Keywords：

疝; 腹股沟; 腹腔镜; 儿童

DOI：

10.7507/1002-0179.201600382

Video：

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目的探讨腹腔镜下自制套管针技术在小儿疝手术中的疗效及相关并发症，并与传统手术治疗小儿腹股沟疝进行对比分析。方法 2010年5月－2014年12月收治121例单侧腹股沟疝患儿，79例行自制套管针腹腔镜手术（腔镜组），42例行传统开放手术（传统组）；腔镜组应用腹腔镜下自制套管针结扎内环口，对比两组手术时间、住院时间、住院费用、术后并发症等指标。结果腔镜组与传统组手术时间分别为（16.12±5.58）、（40.02±9.79）min，住院时间分别为（2.23±0.54）、（4.89±0.44）d，住院费用分别为（5 213.00±288.56）、（3 179.33±325.41）元，差异均有统计学意义（P＜0.05）；两组术后并发症发生率分别为2.5%、11.9%，差异有统计学意义（P＜0.05）。结论具备一定腹腔镜操作经验的术者行腹腔镜下自制套管针手术治疗小儿腹股沟斜疝安全、有效，无需特殊的手术器械，患儿创伤小，美容效果好，手术时间及住院时间短，如术中发现双侧腹股沟疝可同时处理，是较理想的术式。

Citation： 王云汉, 杨进, 李娜. 腹腔镜下自制套管针与传统手术治疗小儿腹股沟疝的对比研究. West China Medical Journal, 2016, 31(8): 1406-1408. doi: 10.7507/1002-0179.201600382 Copy

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1. 吴心音, 黄民主, 张琰, 等.儿童腹股沟疝发病危险因素的病例对照研究[J].中国当代儿科杂志, 2008, 10(4):489-492.
2. Li S, Li M, Wong KK, et al. Laparoscopically assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle:a handy single-port laparoscopic herniorrhaphy in children[J]. J Pediatr Surg, 2014, 49(12):1818-1820.
3. Esposito C, Escolino M, Farina A, et al. The role of bowel preparation to optimize working space in laparoscopic inguinal hernia repair in infants[J]. J Pediatr Surg, 2014, 49(10):1536-1537.
4. Bhatia AM, Gow KW, Heiss KF, et al. Is the use of laparoscopy to determine presence of contralateral patent processus vaginalis justified in children greater than 2 years of age?[J]. J Pediatr Surg, 2004, 39(5):778-781.
5. Esposito C, St Peter SD, Escolino M, et al. Laparoscopic versus open inguinal hernia repair in pediatric patients:a systematic review[J]. J Laparoendosc Adv Surg Tech A, 2014, 24(11):811-818.
6. International Pediatric Endosurgery Group. IPEG guidelines for inguinalHernia and hydrocele[J]. J Laparoendosc Adv Surg Tech A, 2010, 20(2):x-xiv.
7. 陈子民, 叶明, 王斌, 等.微型腹腔镜治疗小儿腹股沟斜疝并发症原因分析及预防[J].腹腔镜外科杂志, 2012, 17(3):212-215.
8. 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.
9. Choi W, Hall NJ, Garriboli M, et al. Outcomes following laparo-scopic inguinal hernia repair in infants compared with older children[J]. Pediatr Surg Int, 2012, 28(12):1165-1169.
10. Ponsky TA, Nalugo M, Ostlie DJ. Pediatric laparoscopic inguinal hernia repair:a review of the current evidence[J]. J Laparoendosc Adv Surg Tech A, 2014, 24(3):183-187.

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West China Medical Journal

腹腔镜下自制套管针与传统手术治疗小儿腹股沟疝的对比研究

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