目的：探讨腹腔镜腹壁切口疝无张力修补术的有效性及安全性。方法回顾分析2008年2月至2014年5月我院21例患者行腹腔镜腹壁切口疝无张力修补术的临床资料。结果21例(100%)均顺利完成手术；2例中转开腹,1例腹腔内粘连广泛无法分离,1例肠管与腹壁及切口粘连致密无法分离。手术时间58~172 min,平均105min。术后住院8~13d,平均9．2 d。术后16例(76.19%)腹壁钉合区域腹壁疼痛,无长期慢性疼痛：8例(38．09%)发生浆液肿；无手术死亡、切口感染、补片感染及肠瘘发生。随访5~50个月,平均14个月,无1例复发。结论腹腔镜腹壁切口疝无张力修补术具有疗效可靠,创伤小,恢复快,术后并发症少等优点。%Objective To investigate the effectiveness and security of laparoscopic tension-free hernioplasty for abdominal wall incisional hernia. Methods The clinical data of 21 patients with abdominal ineisional hernia who underwent laparoscopic tension-free hernioplasty from Feb 2008 to May 2014 were analyzed retrospectively. Results The operation of 21 patients (100% )were conducted successfully,while 2 cases were converted to open surgery because of extensively intraperitoneal adhesion (1 case)and dense adhesion between bowel and incision(1 case). The operation duration was 58 ~ 172 min(average 105 min). Postoperative hospital stay was 8 to 13 d(average 9. 2 d). Abdominal wall pain occurred in 16 patients(76. 19% ),and no compli-cation of chronic pain was found,seroma occurred in 8 patients(38. 09% ). No death, intestinal fistula,incision or mesh infection occurred postoperatively. No recurrence occurred after 5 to 50 months(average l4 months)follow-up. Conclusion Laparoscopic tension-free hernioplasty for abdominal wall incisional hernia has the advantages of reliable curative effect,less trauma,quicker re-covery and fewer complications.
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