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目的 探讨针式腹腔镜治疗小儿腹股沟斜疝的可行性。方法 总结采用针式腹腔镜治疗 2 3例小儿腹股沟斜疝的手术方法及疗效。手术方法 :气管插管 ,静脉复合麻醉。人工气腹。于脐部进针式镜 ,脐左 (左侧疝 )或脐右 (右侧疝 )进针式操作钳 ,于内环口体表投影处进雪撬针。体外打结。术中检查和 /或治疗对侧可能存在的隐性疝。结果 术程均顺利。平均每侧手术时间 2 3.5min。术后 2～ 4d出院。未发现严重并发症 ,随诊未见疝复发。结论 本方法克服了标准腹腔镜切口大 ,与开放手术相比优势不明显的缺点 ,又保留了标准腹腔镜的所有优点 ,设计合理 ,操作简便 ,创伤小 ,患者易于接受 ,可在有条件的医院推广。
Objective To investigate the feasibility of needle laparoscopic treatment of infantile inguinal hernia. Methods The method and efficacy of needle laparoscopy in the treatment of 23 children with inguinal indirect hernia were summarized. Surgical methods: tracheal intubation, intravenous anesthesia. Pneumoconiosis. Into the umbilical needle, umbilical left (left hernia) or umbilicus right (right hernia) into the needle-type operating forceps, the inner ring port projection snow pry needle. Knotted in vitro. Intraoperative examination and / or treatment of contralateral possible occult hernia. The results were smooth. The average operation time on each side was 23.5min. 2 ~ 4d after discharge. No serious complications were found. Hernia recurrence was not observed. Conclusion This method overcomes the shortcomings of standard laparoscopic incision, which is not obvious compared with the open operation, and retains all the advantages of standard laparoscopy. The design is reasonable, easy to operate, less trauma, patients are easy to accept, can be conditional Hospital promotion.