目的 评价美国巴德公司生产的聚丙烯网塞在治疗腹股沟疝和股疝中的临床疗效。方法 采用疝环充填式无张力疝修补术治疗49例腹股沟疝和股疝。总结这些临床资料，并评定疗效。结果 该项技术比传统手术操作简单，疼痛轻，恢复快，经随访1年无复发。结论 疝环充填式无张力疝修补术适用于各种类型的腹股钩疝和股疝，尤其适用于年老体弱者、巨大的腹股沟疝或复发疝； 嵌顿疝如无肠坏死或局部感染，也可考虑使用。此外，不同类型的腹股沟疝和股疝在具体的手术操作上和网塞放置的位置上也有不同。
ObjectiveTo discuss the treatment of retroperitoneal tumors infiltrating celiac trunk. MethodFifteen cases of retroperitoneal tumors who underwent surgery in our hospital between December 2014 to December 2015 were reviewed and analyzed. ResultsAll of the 15 cases had underwent operation, and the blood loss was 300-2200 mL (mean of 600 mL), operation time was 125-600 minutes (mean of 240 minutes). Length of stay in cases of celiac trunk resected was 10-23 days (mean of 15.1 days), and length of stay in cases of celiac trunk nonresected was 15-132 days (mean of 35.2 days). Thirty cases of them were complete resection, and 2 cases were mostly resection. Eight cases of them did not injure celiac trunk, 1 case suffered from complication, 7 cases injured celiac trunk and all of them suffered from complication. There were significant statistical difference in incidence of complications (χ2=8.14, P=0.01) in cases of celiac trunk injury or not. All the cases were followed up for 3-13 months (mean of 6.3 months), 2 cases recurred during the follow-up period, 1 case was leiomyosarcoma, and another 1 was malignant fibrous histiocytoma who underwent celiac trunk resection. ConclusionsWhen retroperitoneal tumors infiltrates celiac trunk, we can resect the celiac trunk, but we must follow a certain principle.