Liu Ming,Chi Renjie,Li Fujiang,et al.Three-dimensional laparoscopic treatment of indirect inguinal hernia in children by water injection[J].Journal of Clinical Pediatric Surgery,,18():686-691.[doi:10.3969/j.issn.1671-6353.2019.08.014]
Three-dimensional laparoscopic treatment of indirect inguinal hernia in children by water injection
- Keywords:
- Hernia; Inguinal/TH; Laparoscopes
- CLC:
- R616.5;R656.2+1
- Abstract:
- Objective To explore the therapeutic feasibility of three-dimensional (3D) high-definition (HD) laparoscopy and examine the application of water injection in high ligation of hernial sac in children with indirect inguinal hernia.Methods From June 2015 to December 2016,340 cases of children with indirect inguinal hernia or hydrocele were recruited.Two groups were designated as traditional laparoscopic group (n=100,A) and 3D laparoscopic group (n=240,B).In group A,the average age was 3.3 years and there was a history of incarceration in 23 cases.The involved side was unilateral (n=67) and bilateral (n=33); In group B,the average age was 3.5 years and there was a history of incarceration in 50 cases.The involved side was unilateral (n=165) and bilateral (n=75).No inter-group difference existed in preoperative general profiles.Results For groups Band A,unilateral intraoperative diagnostic time was (4.5±1.4) and (6.7±3.5)min.And the difference was statistically significant (t=6.85,P=0.001); Unilateral operative duration was (13.2±1.4) and (15.5±3.4) min.And the difference was statistically significant (t=7.31,P=0.001); Bilateral intraoperative diagnostic time was (5.7±2.1) and (8.8±5.2)min.And the difference was statistically significant (t=4.42,P=0.001); Bilateral operative duration was (20.4±2.1) and (23.5±4.4) min.And the difference was statistically significant (t=4.97,P=0.001); The number of complications was 16 versus 9.And the difference was not statistically significant (χ2=0.09,P=0.76); During postoperative re-examinations and 6-month telephone follow-ups,the number of recurrence was 4 versus 2.And the difference was not statistically significant (χ2=0.05,P=0.83); At 2-week re-examinations,umbillical morphology was basically similar.Conclusion 3D HD laparoscopy offers the advantages of three-dimensional vision and high resolution.Injection of hernia needle across vas deferens becomes simple and easy to learn.Both may be widely applied during pediatric inguinal hernia surgery.
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Memo
收稿日期:2017-08-29。
基金项目:山东省医药卫生科技发展计划项目（编号：2014WS0179）
通讯作者:鹿洪亭,Email:luhongting@126.com