前言目的探讨腹腔镜腹壁切口疝修补术的可行性、安全性及优点。方法对18例腹壁切口疝患者施行两种方式腹腔镜切口疝修补术(完全悬吊法12例及部分悬吊法6例),对其临床资料进行回顾性分析。结果所有18例腹腔镜腹壁切口疝修补术均顺利完成,无中转开腹。手术时间:完全悬吊法100~180min,部分悬吊法80~120min;出血10~30ml;术后6h进食,并下床活动,术后4~6d出院。患者随访3~57个月,平均(28.26±10.45)月,未见复发。结论腹腔镜切口疝修补术符合疝修补的生物力学原理,应是切口疝修补的理想术式。完全悬吊法虽固定确切,但手术费时;部分悬吊法补片固定牢固,操作简便,易于推广。
ObjectiveToinvestigatethefeasibility,safetyandadvantagesoflaparoscopicapproachestotreatabdominalincisionalhernia.MethodsUndertookaretrospectiveanalysisof18caseswhounderwentlaparoscopicincisionalherniarepairincludingsimpletransabdominalsuturesprocedurefor12casesandtransabdominalsuturescombinewithstaplesprocedurefor6cases.ResultsAllofthe18laparoscopicincisionalherniarepairsweredonesuccessfully,nonewasconvertedtoopensurgery.Theoperationtimewe...