GU Qi,LI Long,YE Hui,et al.The single port laparoscopic techniques for inguinal hernia and hydrocele in children[J].Journal of Clinical Pediatric Surgery,2013,12(03):194-195.[doi:10.3969/j.issn.1671—6353.2013.03.009]
经脐单孔腹腔镜内环口结扎术治疗小儿腹股沟疝及鞘膜积液的探讨
- Title:
- The single port laparoscopic techniques for inguinal hernia and hydrocele in children
- Keywords:
- Ｌａｐａｒｏｓｃｏｐｙ; Ｈｅｒｎｉａ; Ｉｎｇｕｉｎａｉ／ＳＵ; Ｈｅｒｎｉａ; Ｉｎｇｕｉｎａｉ／DI; Vmbilicus／ＳＵ
- 摘要:
- 目的探讨经脐单孔腹腔镜内环口结扎术(即疝囊或鞘突高位结扎术)治疗小儿腹股沟斜疝及鞘膜积液的临床应用价值。方法回顾性分析118例(140侧)经脐单孔腹腔镜内环口结扎术治疗小儿斜疝和鞘膜积液的临床资料。结果经脐单孔法内环口疝囊及鞘突高位结扎术治疗小儿斜疝76例(94侧)，鞘膜积液42例(56侧)。118例手术均获成功，术中发现对侧隐性疝20例，交通性鞘膜积液16例，单侧平均手术时间15min，双侧平均手术时间28min。术后平均住院时间1.5 d，无并发症，随访1~10个月，无一例复发。结论经脐单孔腹腔镜内环口结扎法治疗小儿腹股沟斜疝及鞘膜积液安全、有效，损伤小，痛苦少，康复快，无明显手术瘢痕、复发率低，值得临床推广应用。
- Abstract:
- Objetive To investigate the clinical value of the single port laparoscopic techiniques for inguinal hernia and hydrocele in children.MethodsFrom Jan 2011 to Jun 2012， one hundred-eighteen children (76 chidren with inguinal hernia and 42 children with hydrocele) underwent the single port laparoscopic ligation of internal ring.ResultsAll of children underwent this operation successfully. The mean duration of surgery was 15 minutes in children with unilateral lesion， and the mean time required for surgery was 28 minutes in children with bilateral lesions. The average hospital stay period after surgery was 1.5 days. All the patients had been followed up and no recurrence.ConclusionsThe single port laparoscopic techniques for inguinal hernia and hydrocele in children is safe and effective.
参考文献/References:
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2李宇洲，姚干，梁健升，等.微型腹腔镜治疗小儿鞘状突未闭十年回顾［J］.中华小儿外科杂志，2008， 29(2):91—93.
3刘强，董昆，杨体泉，等.腹腔镜下缝合法与疝针法疝囊高位结扎术的疗效比较［J］．临床小儿外科杂志，2012，2(1)：41—44．
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