Jun Zhang, Na Jia, Zhen Chen, Xuan Yang, Yan-Dong Wei, Shu-Li Liu, Long Li
Department of Pediatric Surgery, The Capital Institute of Pediatrics, Beijing, China.
Department of Cardiology, Beijing Hospital, Beijing, China.
J Minim Access Surg. 2019 Jan-Mar;15(1):42-45. doi: 10.4103/jmas.JMAS_211_17.
The aim of this study is to describe the technique and to evaluate the outcome of single-incision laparoscopic (SILC) approach for linea alba hernia in children.
A 2 cm vertical umbilical incision was made and stretched horizontally. A 5-mm trocar was inserted through middle port for the telescope. Another extra-long 5-mm 30° trocar was inserted through the lateral port, 5 mm beside the middle port. The extraperitoneal fat was removed, and the defect of linea alba was repaired after hernial sac was excised. The peritoneum was reconstructed with interrupted suture.
From May 2014 to May 2015, eight children with linea alba hernia underwent SILC. Pre-operative abdominal ultrasound showed the average diameter of hernia ring was 3.2 ± 0.7 cm. Mean operation time was 32.5 min (range = 30-45 min). Oral intake was resumed during anaesthesia recovery period. All could endure pain and discharge on the post-operative 12 h. There was no post-operative wound infection. The follow-up period was 1-12 months, no recurrence and other complications occurred.
SILC approach for linea alba hernia is a safe and effective, minimally invasive new technology. The linea alba hernia could be repaired with a cosmetic outcome.
本研究旨在描述小儿白线疝单切口腹腔镜（SILC）手术技术并评估其疗效。
做一个2cm的脐部垂直切口并水平延长。通过中间切口插入一个5mm的套管用于放置腹腔镜。另一个5mm的30°超长套管通过外侧切口插入，位于中间切口旁5mm处。清除腹膜外脂肪，切除疝囊后修补白线缺损。用间断缝合重建腹膜。
2014年5月至2015年5月，8例小儿白线疝患者接受了SILC手术。术前腹部超声显示疝环平均直径为3.2±0.7cm。平均手术时间为32.5分钟（范围=30 - 45分钟）。麻醉恢复期即可恢复经口进食。所有患儿术后12小时均能耐受疼痛并出院。无术后伤口感染。随访1 - 12个月，无复发及其他并发症发生。
SILC治疗小儿白线疝是一种安全有效的微创新技术。可实现白线疝的修补且美容效果良好。
