Imagami Toru, Takayama Satoru
Department of Surgery, Nagoya Tokushukai General Hospital, Kasugai, Japan.
Department of Surgery, Nagoya Tokushukai General Hospital, Kasugai, Japan.
Int J Surg Case Rep. 2018;51:200-203. doi: 10.1016/j.ijscr.2018.08.043. Epub 2018 Aug 28.
Laparoscopic surgery has become a standard treatment for inguinal hernia, with it recently being characterized by the use of smaller instruments. However, reports on needlescopic transabdominal preperitoneal repair using one umbilical 5-mm and two lateral 3-mm trocars are extremely rare.
Seven patients with unilateral inguinal hernia underwent this surgical procedure. A 5-mm trocar was inserted from the umbilical and two 3-mm trocars were inserted from the lateral. After dissection of the preperitoneal layer, a mesh was fixed using a tucker inserted from the umbilical 5-mm trocar while viewing through the 3-mm optics from the lateral trocar.
All procedures were completed without intraoperative complications and conversion to the conventional method. The surgical results of our needlescopic TAPP repair have been shown to not be inferior to those of the conventional method.
Our needlescopic herniorrhaphy using one umbilical 5-mm trocar and two lateral 3-mm trocars is minimally invasive hernia repair.
腹腔镜手术已成为腹股沟疝的标准治疗方法，最近其特点是使用更小的器械。然而，关于使用一个脐部5毫米和两个侧方3毫米套管针进行针式腹腔镜经腹腹膜前修补术的报道极为罕见。
7例单侧腹股沟疝患者接受了该手术。从脐部插入一个5毫米套管针，从侧方插入两个3毫米套管针。在解剖腹膜前层后，从脐部5毫米套管针插入一个推结器固定补片，同时通过侧方套管针的3毫米光学镜观察。
所有手术均顺利完成，无术中并发症，也未转为传统方法。我们的针式腹腔镜经腹腹膜前修补术的手术结果已显示不逊色于传统方法。
我们使用一个脐部5毫米套管针和两个侧方3毫米套管针的针式腹腔镜疝修补术是一种微创疝修补术。
