Tavassoli Alireza, Bagheri Reza, Feizzadeh Behzad, Tavassoli Fatemeh, Barekati Neusha
Endoscopic and Minimally Invasive Surgery Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Urology, Qaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Indian J Surg. 2015 Dec;77(Suppl 2):245-7. doi: 10.1007/s12262-012-0784-1. Epub 2012 Dec 29.
Port site hernias are one of the most serious complications associated with laparoscopic surgery. In this study, we present a simple and reliable method for port site closure in laparoscopic surgery. From 2005 to 2011, 500 patients who underwent laparoscopic surgery were enrolled for the study. They were evaluated considering age, sex, indication of laparoscopic surgery, and early and late complications of port site and were followed up at least for 1 year after the surgery. In our study, 180 males and 320 females with mean age of 36 years were enrolled. The most common indication for laparoscopic surgery was cholecystectomy in 320 patients (64 %). There were no early or late complications of port site after surgery. Our method is a new modification of the procedure presented by Spalding. Using Allis forceps and putting it under the fascia seems to be a more suitable technique which facilitates the laparoscopic port repair. We found it to be extremely safe, simple, and easy to teach.
穿刺孔疝是腹腔镜手术最严重的并发症之一。在本研究中，我们介绍一种腹腔镜手术中简单可靠的穿刺孔关闭方法。2005年至2011年，500例行腹腔镜手术的患者纳入本研究。对患者进行了年龄、性别、腹腔镜手术指征以及穿刺孔早期和晚期并发症的评估，并在术后至少随访1年。在我们的研究中，纳入了180例男性和320例女性，平均年龄36岁。腹腔镜手术最常见的指征是320例患者（64%）行胆囊切除术。术后穿刺孔无早期或晚期并发症。我们的方法是对Spalding提出的手术方法的一种新改良。使用艾利斯钳并将其置于筋膜下似乎是一种更合适的技术，便于腹腔镜穿刺孔修复。我们发现它极其安全、简单且易于传授。
