Abstract: 【Abstract】 Objective〓To summarize up endoscopic extraperitoneal reset combined with TEP treating for inguinal irreducible hernia. Methods〓From March 2012 to November 2015,48 patients with irreducible inguinal hernia were performed modified laparoscopic totally extraperitoneal hernia repair in our hospital (observation group). And the other 50 cases of irreducible inguinal hernia in same period were performed with open mesh plug hernia repair (control group). The clinical effect of both groups were analyzed in two groups. Results〓Operation time of control group was shorter than that of observation group, and. blood loss, ambulation time, hospital stay, duration of pain in the observation group were significantly lower than those in the control group, and the differences were statistically significant. The postoperative complications was 6.25% in the observation group, and 22.00% in the control group (P<0.05). Conclusion〓The clinical application of extraperitoneal reset endoscopic combined with TEP for treating inguinal irreducible hernia is feasible, which has the advantage to open operation. And our results in the study is in line with literature reports.

Key words: Endoscopic, TEP, Inguinal irreducible hernia, Extraperitoneal reset

摘要： 【摘要】 目的 探讨腔镜下腹膜外复位及TEP治疗腹股沟难复性疝的临床应用效果以及安全性评估。方法〓选取2012年3月~2015年11月期间于我院行腔镜下腹膜外复位及TEP治疗腹股沟难复性疝患者48例作为观察组,同时选取同期采用传统开放式的疝环填充无张力性修补术治疗腹股沟难复性疝患者50例作为本研究对照组,观察并对比两组患者的临床应用效果。结果〓两组患者的手术时间对比,对照组稍短。但是观察组患者的术中出血量、下床活动时间、疼痛的持续时间以及住院时间均明显低于对照组患者,差异具有统计学意义(P<0.05),同时手术并发症的发生率(6.25%)也明显低于对照组发生率(22.00%),差异具有统计学意义(P<0.05)。结论 临床中利用腔镜下腹膜外复位及TEP治疗腹股沟难复性疝是可行的,符合文献报道,即较传统开放式疝修补术具有优势。

关键词: 腹腔镜, 腹腔镜下全腹膜外修补术, 腹膜外复位, 腹股沟难复性疝