关键词: 关键词 小儿斜疝, 微型腹腔镜, 传统术式, 比较, 【Key Words】　pediatric Indirect inguinal hernia, mini-laparoscopy, traditional operation, comparison

Abstract: Clinical study of the laparoscopic and traditional operation for children’s indirect inguinal hernia Zhu Ying-chang1 Chen Lieh-uan 1Wang kun 1 Xiong hai-bo 1 Liang xiong 1 Li Yan-ling2 1 Department of General Surgery I， Nanhai People’s Hospital,Nanfan Medical University，Foshan，528000，China 2 Nanhai Maternity And Child Care Hospital, Foshan，528000，China 【Abstract】　Objective　To compare surgical outcomes between laparoscopic high ligation and conventional procedure in the treatment of inguinal hernia. Methods　High ligation of the hernial sac was performed in 120 patients with indirect inguinal hernia from January 2007 to December2009. Twenty-seven patients were treated laparoscopically by using a hooked needle (Laparoscopic Group), whereas conventional open procedure was conducted in 93 patients (Conventional Group).　 Main outcome measures included operating time, estimated blood loss, length of incision, hospitalization length, operative complications and total expenditure. Results Compared to the Conventional Group, the Laparoscopic Group presented shorter operating time, less blood loss, less operative complications, shorter hospitalization length, higher total expenditure, and the precise effect.　Conclusions　Compared to conventional procedure, laparoscopic high ligation of hernial sac has advantages of minimal invasion, less pain, quicker recovery, shorter hospitalization, and better cosmetic results. It is an ideal procedure for treating pediatric indirect inguinal hernia. 【Key Words】　pediatric Indirect inguinal hernia; mini-laparoscopy; traditional operation; comparison