Objective To study the feasibility and the efficacy of total extraperitoneal repair (TEP) under two laparoscopes.Methods Clinical data of 51 patients with inguinal hernia who underwent TEP under two laparoscopes from July 2015 to March 2016 in our hospital were analyzed retrospectively.During TEP,we added a 5-mm laparoscope for monitoring and exploration in the abdominal cavity.Results All the operations of TEP under two laparoscopes were successful.The operation time lasted 42-176 min with a mean of (74 ±27) min.The intraoperative blood loss was 5-30 ml with a mean of (12.8 ±5.9) ml.The length of postoperative hospital stay was 2-7 days with a mean of (4.0 ± 1.1) days.The percentage of postoperative complications was 11.8％ (6/51),including inguinal area seroma which accounted for 2.0％ (1/51),inguinal region pain accounting for 3.9％ (2/51),and postoperative urinary retention for 5.9％ (3/51).No infection was found.The follow-up period ranged from 3 to 11 months (mean,7 months),no recurrence was observed during this period.Conclusions TEP under two laparoscopes can treat inguinal hernia precisely.It is also helpful to find compound inguinal hernia and occult inguinal hernia.%目的 探讨双腹腔镜全腹膜外无张力疝修补术的可行性和临床效果.方法 回顾性分析2015年7月～2016年3月51例双腹腔镜全腹膜外无张力疝修补术的临床资料,在常规手术基础上增加一个5 mm腹腔镜在腹腔内探查和监视.结果 51例手术均获成功,手术时间42 ～176 min,(74±27) min;术中出血量5～30 ml,(12.8±5.9)ml;术后住院时间2～7d,(4.0±1.1)d;术后并发症发生率11.8％ (6/51),其中腹股沟区血清肿2.0％ (1/51),腹股沟区疼痛3.9％ (2/51),术后尿潴留5.9％ (3/51),无一例感染.随访3～11个月,平均7个月,无一例复发.结论 双腹腔镜全腹膜外无张力疝修补术可精准分离、修补腹股沟疝,可发现有无复合疝、对侧隐匿疝存在,适用于腹股沟疝的治疗.
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