[1]张丰年 李　炳 陈卫兵 王寿青 孙　瀚 李　倩.经脐单部位腹腔镜下应用注射器行疝囊高位结扎术４２例[J].临床小儿外科杂志,2018,17(01):51-53.
　Zhang Fengnian,Li Bing,Chen Weibing,et al.Highligation of hernia sac with syringe under transumbilical singlesite laparoscopy for pediatric inguinal hernia.[J].Journal of Clinical Pediatric Surgery,2018,17(01):51-53.
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经脐单部位腹腔镜下应用注射器行疝囊高位结扎术４２例

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年01期 页码: 51-53 栏目: 临床研究 出版日期: 2018-01-28
Title:
Highligation of hernia sac with syringe under transumbilical singlesite laparoscopy for pediatric inguinal hernia.
作者:
张丰年  李　炳  陈卫兵  王寿青  孙　瀚     李　倩
淮安市妇女儿童医院小儿外科
Author(s):
Zhang Fengnian1;  Li Bing1;  Chen Weibing1;  Wang Shouqing1;  Sun Han1;  Li Qian2. CoFirst Author:Li Qian.
1 Department of Pediatric Surgery;
关键词:
腹腔镜; 疝; 腹股沟; 注射器; 结扎术; 治疗; 儿童
Keywords:
Laparoscopes;  Hernia;  Inguinal;  Syringes;  Ligation;  Therapy;  Child
文献标志码:
A
摘要:
目的　探讨经脐单部位腹腔镜下应用注射器行疝囊高位结扎术治疗小儿腹股沟疝的手术
方法。　方法　２０１５年１２月至２０１６年０５月间本院收治４２例腹股沟疝患儿，平均年龄１岁２个月，右侧
３２例，左侧４例，双侧６例，均在经脐单部位腹腔镜下应用注射器行疝囊高位结扎术。　结果　全组４２例
均顺利完成手术，无中转开放手术，手术时间６～１５ｍｉｎ，随访６个月，腹部无明显疤痕，无复发。　结论　
经脐单部位腹腔镜下应用注射器行疝囊高位结扎术安全、有效，缩短手术时间，一次穿刺腹壁即可完成疝
囊高位结扎术，简化技术，降低难度，有利于技术的推广应用。
Abstract:
ObjectiveTo explore the feasibility of highligation of hernia sac with syringe under transumbilical singlesite laparoscopy for pediatric inguinal hernia.MethodsBetween December 2015 and May 2016, 42 cases of pediatric inguinal hernia underwent highligation of hernia sac with syringe under transumbilical singlesite laparoscopy. Their average age was 13 months. Among them, the involved side was right (n=32), left (n=4) and bilateral (n=6).Results Highligation of hernia sac with syringe under transumbilical singlesite laparoscopy was successfully performed without conversion into open surgery. The average operative duration was 7.6 (6-15) min. During a followup period of 6 months, there was no onset of testicular atrophy/ascent, recurrence or significant scarring.ConclusionHighligation of hernia sac with syringe under transumbilical singlesite laparoscopy is both safe and effective with shorter operative durations and fewer complications. It may be completed with one abdominal wall puncture.

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