关键词: 腹腔镜, 儿童, 腹股沟疝, 疝囊高位结扎

Abstract: 【Abstract】〓Objective〓To introduce a modified method of laparoscopic treatment for indirect inguinal hernia in children,.evaluate its safety and efficacy. Methods〓During Feb..2006 and Oct. 2010,.77 children with indirect inguinal hernia were treated by laparoscopic surgery..All patients underwent high ligation surgery with a modified one port laparoscopic technique:.mainly performed by extracorporeal suturing with an ordinary taper needle.(1/2 Arc 11×34)..The clinical data were retrospectively analyze. Results〓All surgeries were successful without serious complications..During operation,.contralateral occult indirect inguinal hernia were found and subsequently repaired in 22 cases(31.4%)..The mean of operative time was 13 mins (7-19 min) in 48 cases of unilateral hernia and 21 min.(14-31 min) in 29 cases of bilateral hernia. The mean of postoperative hospital stay was 48 h.(26-52 h). Thirty-five patients were followed-up from 6 to 36 months,.and mean followed-up time was 22.6 months. There were no complications and recurrence in this study. Conclusion〓The modified single-port laparoscopic technique for the repair of indirect inguinal hernia in children is a safe and reliable procedure,.with minor invasion and satisfied outcome. It is easy.to be learned and performed.

Key words: Inguinal hernia, Laparoscope, Closure of internal orifice, Child