Application of Two Kinds of Self-made Suture Needle in Laparoscopic Herniorrhaphy in Children_West China Medical Journal

Authors：

WANG Xue ,  WANG Shulin

Department of Surgery, the Fifth People’s Hospital of Chengdu City, Chengdu, Sichuan 611130, P. R. China;

Corresponding author：

WANG Shulin, Email: lawrence0128@vip.qq.com

Keywords：

小儿腹腔镜; 腹股沟疝; 双孔导线缝针

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【摘要】　目的　探讨自制双孔导线针在腹腔镜小儿腹股沟疝手术中的应用价值。　方法　回顾性分析2006年4月-2010年6月行腹腔镜小儿腹股沟疝手术655例患儿的临床资料。单孔针手术组452例，双孔针手术组203例，将两组患儿术中、术后资料进行对比分析。　结果　单孔针组手术时间(17. 7±3. 5) min；术中出血(5. 4±1. 3) mL，住院时间(2. 5±1. 0) d发生腹壁下小血肿15例，术后复发3例；双孔针组手术时间(8. 2±2. 3) min，术中出血(1. 4±0. 3) mL，住院时间(2. 1±0. 8) d，发生腹壁下小血肿2例，术后复发1例。双孔针组的手术时间、术中出血、并发症发生率等均明显优于双孔针组(P lt;0. 05)，两组住院天数、复发率差异均无统计学意义(P gt;0. 05)。　结论　自制双孔导线缝扎针在腹腔镜小儿腹股沟疝手术中应用能够缩短手术时间，操作安全快捷，创伤更小等优点，值得推广应用。
【Abstract】　Objective　 To explore the clinical value of self-made diplopore suture needle in laparoscopic herniorrhaphy in children.　Methods　 The clinical data of 655 patients who underwent laparoscopic herniorrhaphy between April 2006 and June 2010 were retrospectively analyzed. The patients were divided into the single-hole needle group (452 patients) and the diplopore needle group (203 patients), and the operative and post-operative data of the two groups were analyzed and compared.　Results　 The operation time in the single-hole needle group was (17.7±3.5) minutes and the bleeding volume during the operation was (5.4±1.3) mL; while 15 patients suffered from small hematoma under the abdominal wall and three recurred. The operation time in the diplopore needle group was (8.2±2.3) minutes with (1.4±0.3) mL blood loss; while two patients suffered from small hematoma under the abdominal wall and one recurred. The patients in the single-hole needle group stayed in the hospital for (2.5±1.0) days, while the patients in diplopore needle group stayed for (1.4±0.3) days. The operation time, bleeding volume, rate of complications in diplopore needle group were significantly less than those in the single-hole needle group (P lt;0.05). The hospital staying days, and the recurrence rate in the two groups didn’t differ much (P gt;0.05).　Conclusion　 The advantages of self-made diplopore needle in laparoscopic herniorrhaphy in children include short operation time, less trauma, and simple operation; it is worth generalizing and applying.

Citation： WANG Xue,WANG Shulin. Application of Two Kinds of Self-made Suture Needle in Laparoscopic Herniorrhaphy in Children. West China Medical Journal, 2011, 26(3): 348-381. doi: Copy

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10.	叶劲松, 侯东生, 张程鹏, 等. 两孔提线针法微型腹腔镜小儿腹股沟斜疝高位结扎术[J]. 腹腔镜外科杂志, 2009, 14(5): 375.
11.	钟先荣, 李金明, 刘振惠, 等. 两孔法腹腔镜小儿腹股沟斜疝高位结扎术120例报告[J]. 微创医学, 2009, 4(2): 163.
12.	李永来, 刘焕军, 李贺. 腹腔镜下疝囊高位结扎术与传统术式比较[J]. 中国微创外科杂志, 2007, 7(4): 376-377.

1. 　周欣, 王军, 卞红强, 等. 腹腔镜下小儿腹股沟斜疝的内环口分型及临床意义[J]. 中华小儿外科杂志, 2005, 26(11): 583-585.
2. 　张志勇, 李慎惠, 徐家朴. 腹腔镜下小儿疝囊高位结扎术初期疝复发探讨[J]. 中国内镜杂志, 2004, 10(9): 94-95.
3. 　应福明, 冯雪峰. 腹腔镜治疗小儿斜疝97例[J]. 中国微创外科杂志, 2005, 5(6): 505-506.
4. 　Gorsler CM, Schier F. Laparoscopic hemiorrhaphy in children[J]. Surg Endosc, 2003, 17(4): 571-573.
5. 　孔赤寰, 王莹, 张柏, 等. 单孔腹腔镜下应用改型硬膜外针治疗小儿腹股沟斜疝[J]. 中国微创外科杂志, 2009, 9(7): 587-588.
6. 　Olguner M, Aktug T, Akgur F, et al. Exporimetal study inveseigating the feasibiling of a new method for laparoscopic indirect inguinal betnin repair[J]. J Invest Surg, 1997, 10(4): 189-193.
7. 　Takehara H, Yakabe S, Kameoka, et al. Laparoscopic percutaneous extraperitonealclosure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions[J]. J Pediatr Surg, 2006, 41(12): 1999-2003.
8. 　Classen C, Palmes D, Horstmann R, et al. Laparoscopic inguinal herniorrhaphy in children-experiences in a primary medical care center[J]. Zentralbl Chir, 2008, 133(2): 178-181.
9. 　Khajanchee YS, Urbach DR, Swanstrom LL, et al. Outcomes of laparoscopie hemiorrhaphy without fixation of mesh to the abdominal wall[J]. Surg Endosc, 2001, 15(10): 1102-1107.
10. 　叶劲松, 侯东生, 张程鹏, 等. 两孔提线针法微型腹腔镜小儿腹股沟斜疝高位结扎术[J]. 腹腔镜外科杂志, 2009, 14(5): 375.
11. 　钟先荣, 李金明, 刘振惠, 等. 两孔法腹腔镜小儿腹股沟斜疝高位结扎术120例报告[J]. 微创医学, 2009, 4(2): 163.
12. 　李永来, 刘焕军, 李贺. 腹腔镜下疝囊高位结扎术与传统术式比较[J]. 中国微创外科杂志, 2007, 7(4): 376-377.

West China Medical Journal

Application of Two Kinds of Self-made Suture Needle in Laparoscopic Herniorrhaphy in Children

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