腹腔镜下造瘘口旁疝修补的临床应用

发布时间：2018-01-14 18:19

本文关键词：腹腔镜下造瘘口旁疝修补的临床应用　出处：《中国微创外科杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的探讨腹腔镜下造瘘口旁疝修补的临床价值。方法我院2011年5月~2016年3月对12例造瘘口旁疝行腹腔镜下造瘘口旁疝修补,腹腔镜下松解和游离肠管周围粘连,松解疝囊及造瘘肠管周围粘连,并将疝内容物回纳至腹腔,腹腔内置入带有刻度的硬膜外麻醉导管,测量疝环的大小和造瘘肠管的粗细。根据测量结果将疝补片裁剪后送入腹腔,环绕造口肠管,覆盖缺损区域腹壁,固定补片。结果 12例手术均取得成功,术中发现疝环直径3.5~8.5 cm,平均5.7 cm。手术时间55~100 min,平均70 min。住院时间3~9 d,平均5.2 d。12例随访3个月~4年,中位随访时间3年2个月,无死亡、复发。结论腹腔镜下造瘘口旁疝修补术安全、可行,临床效果满意。
[Abstract]:Objective to evaluate the clinical value of laparoscopic repair of parastatal hernia. Methods from May 2011 to March 2016, 12 cases of parastatal hernia were treated with laparoscopic repair of parastatal hernia. Laparoscopic release of adhesions around the free intestinal duct, release of adhesions around the hernia sac and fistula, and return of hernia contents to the abdominal cavity, intraperitoneal placement of a calibrated epidural anaesthesia catheter. The size of the hernia ring and the thickness of the intestinal tube were measured. According to the results, the herniation patch was cut into the abdominal cavity, surrounded by the intestinal tube, covered with the defect area and fixed with the patch. Results all the 12 cases were successfully operated. The diameter of hernia ring was 3.5 ~ 8.5 cm (average 5.7 cm), the operative time was 55 ~ 100 min (mean 70 min) and the hospital stay was 3 ~ 9 days. An average of 5.2 d.12 cases were followed up for 3 months to 4 years. The median follow-up time was 3 years and 2 months. There was no death and recurrence. Conclusion Laparoscopic repair of perioral hernia is safe and feasible, and the clinical effect is satisfactory.
【作者单位】：攀钢集团总医院普外科;
【分类号】：R656
【正文快照】： 造瘘口旁疝是结肠及小肠造瘘术后常见的并发症之一,一般对于造瘘口旁疝采取保守治疗,但对于那些因为疝囊过大导致排便困难、肠道梗阻、疝嵌顿,或者影响造口袋的密封,需要手术治疗。我院2011年5月~2016年3月对12例造瘘口旁疝行腹腔镜下造瘘口旁疝修补,临床效果满意,现报道如下

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