临床外科杂志 ›› 2020, Vol. 28 ›› Issue (12): 1157-1159.doi: 10.3969/j.issn.1005-6483.2020.12.021

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特定情景扶镜法在腹股沟疝经腹腹膜前修补术手术中的应用

  

  1. 710068 西安,陕西省人民医院普外一科(田利飞、屈亚琦、赵旭、权攀、姚建锋);河北省沙河市人民医院普外科(徐庆学)
  • 出版日期:2020-12-20 发布日期:2020-12-20
  • 通讯作者: 姚建锋,Email:976952382@qq.com

Application of the camera holder act in fixed scenes in laparoscopic transabdominal preperitoneal inguinal hernia repair surgery

  1. Department of General Surgery I Section,Shaanxi Provincial People's Hospital,Xi'an,710068,China
  • Online:2020-12-20 Published:2020-12-20

摘要: 目的 探讨特定情景扶镜法在腹腔镜腹股沟疝经腹腹膜前修补术(laparoscopic transabdominal preperitoneal repair of inguinal hernia,TAPP)中的应用效果。
方法 2019年1月~2020年1月我院行腹股沟疝TAPP手术病人122例,其中特定情景扶镜法组63例,常规扶镜法组59例,比较两组病人手术时间、术后住院时间、术后第1天VAS评分、术后并发症情况。
结果 122例病人均完成腹腔镜TAPP手术,无中转开放手术。特定情景扶镜法组单侧疝手术时间(66.4±16.2)分钟,双侧疝手术时间(121.4±33.2) 分钟,常规扶镜法组单侧疝手术时间(78.7±18.0)分钟,双侧疝手术时间(147±34.6)分钟,特定情景扶镜法组较常规扶镜法组单侧及双侧疝手术时间均缩短,差异有统计学意义(P<0.05),两组病人术后住院时间、术后第1天VAS评分、血清肿及血肿发生率比较差异无统计学意义(P>0.05),无术后疝复发及补片感染。
结论 特定情景扶镜法将术中扶镜过程程序化、标准化,可有效缩短手术时间,且不增加并发症发生率。

关键词: 腹股沟疝, 经腹腹膜前, 腹腔镜, 扶镜

Abstract: Objective To investigate the application effect of the camera holder act in fixed scene in laparoscopic inguinal hernia TAPP repair.
Methods From January 2019 to January 2020,a total of 122 patients underwent TAPP in Shaanxi Provincial People's Hospital were retrospectively researched,63 of them underwent surgery while the camera holder act in fixed scene,the other 59 patients underwent common practice.The clinic data of operative time,hospital stay,Visual Analogue Scale(VAS),postoperative complication were analyzed.
Results All 122 patients underwent surgery successfully.The operative time of unilateral hernia was(66.4±16.2)min and the bilateral hernias was(121.4±33.2)min when the camera holder act in fixed scene,while in common practice,the operative time of unilateral hernia was(78.7±18.0)min and the bilateral hernias was(147±34.6)min.So compared with common practice,the camera holder act in fixed scene shorten operation time both in unilateral hernia and bilateral hernias(P<0.05).There was no significant difference in postoperative hospital stay,VAS score on the first day after surgery,incidence of seroma and hematomas between two groups(P>0.05).There was no hernia recurrence and mesh infection in all patients.
Conclusion The camera holder act in fixed scene make it standardized and routinized to support the laparoscope.It shorten the operation time effectively,and do not increase the complication incidence.

Key words: inguinal hernia, transabdominal preperitoneal, laparoscope, camera holder

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