临床小儿外科杂志

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6～15 min,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。

Objective To explore the feasibility of high-ligation of hernia sac with syringe under transumbilical single-site laparoscopy for pediatric inguinal hernia. Methods Between 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. Conclusion High-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.

引言
1 材料与方法
2 结果
3 讨论

图1 经脐单部位腹腔镜下应用注射器行疝囊高位结扎术照片。a,穿线方式,两根7号丝线自20 ml注射器侧孔针头穿出; b,患侧内环口体表投影处取一约1 mm皮肤切口,自此切口进针; c,针头潜行于内环口内侧腹膜外,紧贴腹膜分离,越过输精管,于疝囊颈部后侧正中刺入腹腔; d,针头潜行于内环口外侧腹膜外,分开精索,与之前同一腹膜孔进入腹腔; e,抓钳牵拉前一7号丝线进入另一7号丝线形成的线圈内; f,退出针头,自穿刺隧道内带出腹腔内7号丝线,完整缝闭内环处; g,腹腔外打结,疝囊高位结扎完成。
Fig.1 High-ligation of hernia sac with syringe under transumbilical single-site laparoscopy. a,Threading mode; b,Needle insertion method; c,Suturing inner half peritoneum; d,Suturing external half peritoneum; e,Coiling method; f,Suturing inner ring; g,Knotting outside abdominal cavity.

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备注

引言

1 材料与方法

2 结果

3 讨论

期刊信息

备注

引言

1 材料与方法

2 结 果

3 讨 论

期刊信息

2 结果

3 讨论