Albanese Craig T, Rengal Shawn, Bermudez Dustin
Division of Pediatric Surgery, Department of Surgery, Lucile Packard Children's Hospital at Stanford University Medical Center, Stanford, CA 94305-5733, USA.
J Pediatr Surg. 2006 Apr;41(4):859-62. doi: 10.1016/j.jpedsurg.2005.12.033.
BACKGROUND/PURPOSE: The aim of this study was to determine whether a novel laparoscopic technique for pediatric umibilical and epigastric hernia repair is safe, quick, effective, durable, and cosmetically acceptable.
Forty-one consecutive umbilical and 13 epigastric hernias were repaired laparoscopically. Six patients had concomitant epigastric and umbilical hernias repaired during one procedure. Two 3-mm ports were used via a lateral approach. Mean age was 4.2 years for those with an umbilical hernia and 2.0 years for those with an epigastric hernia.
All procedures were completed laparoscopically. The mean operative time was 27 minutes for umbilical hernia repair and 16 minutes for epigastric hernia repair. There were no intraoperative or postoperative complications. Follow-up was 100% and ranged from 6 to 35 months. There have been no recurrent hernias, and patient/parent satisfaction was subjectively excellent.
This case series demonstrated that this novel technique of laparoscopic anterior abdominal wall hernia repair is safe, quick, effective, durable, and cosmetically acceptable. It requires few instruments and minimal advanced laparoscopic techniques.
背景/目的：本研究的目的是确定一种用于小儿脐疝和上腹部疝修补的新型腹腔镜技术是否安全、快速、有效、持久且在美观上可接受。
连续对41例脐疝和13例上腹部疝进行腹腔镜修补。6例患者在一次手术中同时修补了上腹部疝和脐疝。通过外侧入路使用两个3毫米的端口。脐疝患者的平均年龄为4.2岁，上腹部疝患者的平均年龄为2.0岁。
所有手术均通过腹腔镜完成。脐疝修补的平均手术时间为27分钟，上腹部疝修补的平均手术时间为16分钟。无术中或术后并发症。随访率为100%，随访时间为6至35个月。无复发性疝，患者/家长主观满意度极佳。
该病例系列表明，这种新型的腹腔镜前腹壁疝修补技术是安全、快速、有效、持久且在美观上可接受的。它需要的器械少，且所需的先进腹腔镜技术最少。
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