关键词: 单孔腹腔镜, 小儿隐匿疝

Abstract: 【Abstract】〓Objective〓To evaluate the effect of laparoscopic hernia sac high ligation on pediatric occult hernia. Methods〓1864 high ligation surgeries on children occult hernia were operated in our hospital between 2008 and 2012. There were 534 (28.6%) occult hernias. Of them, 436 cases were repaired with single port macroscopic surgery and 98 cases underwent traditional open surgery. The discovery rate, hospital stay, complications and the total cost of the two types of surgery were compared and analyzed. Results〓There were significant differences between single port macroscopic surgery and traditional open surgery in the discovery rate of occult hernia, total cost, hospital days and operative complication(P<0.05). Conclusion〓Single port laparoscopic sac high ligation operation has advantage over the traditional open surgery. It is suggestive the surgical approach would be adopted due to its advantage of finding contralateral occults hernia.

Key words: Single port laparoscopic, pediatric, occult hernia