腹腔鏡TAPP治療腹股溝嵌頓疝的臨床分析_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 黃建朋 ,  陳亮 , 韓明福

湖北醫藥學院附屬人民醫院胃腸外科（湖北十堰 442000）;

Corresponding?author：

陳亮, Email: Whchenliang@163.com

Keywords：

腹股溝嵌頓疝; 腹腔鏡; 經腹膜前; 疝修補術

DOI：

10.7507/1007-9424.20160261

Video：

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目的探討腹腔鏡經腹膜前補片修補術（TAPP）治療腹股溝嵌頓疝的安全性及優勢。方法 2012年3月至2015年3月期間我院共治療腹股溝嵌頓疝患者25例，全麻后，先在腹腔鏡下還納疝內容物，若腸管未壞死，則行TAPP術。結果 25例手術患者中，3例合并腸壞死，于腹腔鏡下完成腸切除或腸造口術；22例患者成功施行TAPP手術，未中轉開腹，術后無補片感染及嚴重并發癥發生。隨訪1～4年，未見復發。結論 TAPP治療腹股溝嵌頓疝探查便利，操作方便，安全可行，療效可靠，優勢明顯。

Citation： 黃建朋, 陳亮, 韓明福. 腹腔鏡TAPP治療腹股溝嵌頓疝的臨床分析. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(8): 998-999. doi: 10.7507/1007-9424.20160261 Copy

1.	Ge BJ, Huang Q, Liu LM, et al. Risk factors for bowel resection and outcome in patients with incarcerated groin hernias. Hernia, 2010, 14(3):259-264.
2.	包文中, 周高潮, 湯大緯, 等.腹股溝嵌頓疝一期無張力修補術中不使用抗生素的臨床觀察.中華醫學雜志, 2014, 94(4):293-295.
3.	De Martino A, Testi W, Cirianni D, et al. Incarcerated inguinal hernia in elderly:personal tension-free hernioplastic technique. Ann Ital Chir, 2007, 78(3):221-225.
4.	Lohsiriwat V, Sridermma W, Akaraviputh T, et al. Surgical outcomes of Lichtenstein tension-free hernioplasty for acutely incarcerated inguinal hernia. Surg Today, 2007, 37(3):212-214.
5.	李榮霖, 陳杰, 劉素君, 等.局麻下無張力疝修補術治療腹股溝嵌頓20例體會.中華疝和腹壁外科雜志:電子版, 2010, 4(2):141-144.
6.	黃建朋, 韓明福, 董榮坤.腹腔鏡手術在胃腸道急腹癥中的應用價值.臨床外科雜志, 2013, 21(12):923-925.
7.	Lehmann A, Pi?tkowski J, Nowak M, et al. Simultaneous TAPP (transabdominal pre-peritoneal technique) for inguinal hernia and cholecystectomy-a feasible and safe procedure. Pol Przegl Chir, 2014, 86(2):73-76.
8.	Comman A1, Brunner SM, Gaetzschmann P, et al. Incarcerated femoral Littre's hernia-transperitoneal preperitoneal hernia repair (TAPP) and laparoscopic resection of the necrotic diverticulum. Surg Laparosc Endosc Percutan Tech, 2008, 18(4):409-413.

1. Ge BJ, Huang Q, Liu LM, et al. Risk factors for bowel resection and outcome in patients with incarcerated groin hernias. Hernia, 2010, 14(3):259-264.
2. 包文中, 周高潮, 湯大緯, 等.腹股溝嵌頓疝一期無張力修補術中不使用抗生素的臨床觀察.中華醫學雜志, 2014, 94(4):293-295.
3. De Martino A, Testi W, Cirianni D, et al. Incarcerated inguinal hernia in elderly:personal tension-free hernioplastic technique. Ann Ital Chir, 2007, 78(3):221-225.
4. Lohsiriwat V, Sridermma W, Akaraviputh T, et al. Surgical outcomes of Lichtenstein tension-free hernioplasty for acutely incarcerated inguinal hernia. Surg Today, 2007, 37(3):212-214.
5. 李榮霖, 陳杰, 劉素君, 等.局麻下無張力疝修補術治療腹股溝嵌頓20例體會.中華疝和腹壁外科雜志:電子版, 2010, 4(2):141-144.
6. 黃建朋, 韓明福, 董榮坤.腹腔鏡手術在胃腸道急腹癥中的應用價值.臨床外科雜志, 2013, 21(12):923-925.
7. Lehmann A, Pi?tkowski J, Nowak M, et al. Simultaneous TAPP (transabdominal pre-peritoneal technique) for inguinal hernia and cholecystectomy-a feasible and safe procedure. Pol Przegl Chir, 2014, 86(2):73-76.
8. Comman A1, Brunner SM, Gaetzschmann P, et al. Incarcerated femoral Littre's hernia-transperitoneal preperitoneal hernia repair (TAPP) and laparoscopic resection of the necrotic diverticulum. Surg Laparosc Endosc Percutan Tech, 2008, 18(4):409-413.

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腹腔鏡TAPP治療腹股溝嵌頓疝的臨床分析

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