目的:探讨腹腔镜经腹腹膜前应用泰科解剖补片免钉合腹股沟疝修补术的临床治疗效果.方法:分析2009 年10 月至2010 年10 月我院采用泰科解剖补片行免钉合(经腹腹膜前疝修补术,TAPP)治疗腹股沟疝的临床资料共53 例,以传统TAPP 术治疗者52 作为对照组,从平均手术时间、术后神经痛、手术区积液、复发再发、手术材料费等方面进行对比.结果:手术均获成功,无中转手术.手术时间为40 ～ 120 min,平均为80 min,住院时间为3 ～ 5 d,平均4 d,手术并发症4 例,均为手术区血清肿,经对症治疗均在1 周内消失,随访6 ～ 18 个月无复发.结论:腹腔镜经腹腹膜前应用泰科解剖补片免钉合腹股沟疝修补术是一种解剖清晰、疗效确切、复发再发率低、手术时间短、损伤小、恢复快、费用低、并发症少、适应证广、设备要求低、易学习掌握、更安全实用的手术方式,值得临床推广普及.%Objective To explore the clinical effects of transabdominal preperitoneal hernia repair technique of laparoscope with nonstapling of mesh. Methods The clinical data of 53 cases of transabdominal preperiotoneal hernia repair technique of laparoscope with nonstapling of mesh compared with 52 cases of traditional TAPP technique on average operating time , postoperation pain, inguinal seromas, recurrence rate and the cost of operation material were analyzed during October 2009 to October 2010. Results All the operations of TAPP (nonstapled) were successfully performed without conversion to other operations. The average operating time was 80 min (range 40 ~120 min) ,the mean hospital stay was 4 days (range 3 ~ 5 days). The complications were inguinal seromas which occurred in 4 cases and were removed within one week. All the patients were followed up for 6 ~ 18 months. All the cases have not relapsed. Conclusions TAPP (nonstapled) operation is anatomical clear, definite effect, short operative time, a little injury, quick recovery, low cost, fewer complications, indications wide, equipment require lower, easy to master, more secure and practical operation method, worth clinical popularization.
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