经腹膜前间隙腹腔镜手术一期治疗成人腹股沟斜疝伴隐睾患者的临床效果*

Clinical efficacy of laparoscopic total extraperitoneal approach in the Synchronous treatment of adult inguinal hernia with cryptorchidism*

摘要:

探讨腹腔镜一期治疗成人腹股沟斜疝伴隐睾的可行性及优越性。方法 回顾性分析2015年10月－2018年10月该院行腹腔镜一期治疗成人腹股沟斜疝伴发隐睾患者的资料。结果 全组共5例患者，一侧腹股沟斜疝合并腹股沟管型隐睾2例，一侧腹股沟斜疝合并腹腔内型隐睾3例，均顺利行腹腔镜隐睾切除+全腹膜外腹腔镜腹股沟疝修补术（TEP）。手术时间65～120 min，平均（76.5±10.4）min，术后住院时间4～8 d，平均（5.5±2.2）d。术后随访时间最长3年，平均12个月，其中1例出现阴囊血肿，经抽吸后治愈；无疝复发病例，无切口及补片感染，无慢性疼痛等并发症发生。结论 经腹膜前间隙腹腔镜手术一期治疗成人腹股沟斜疝伴发隐睾是可行的、安全的，值得临床推广使用。

Abstract:

To evaluate the feasibility and advantage of laparoscopic surgery in the Synchronous treatment of adult inguinal hernia with cryptorchidism. Methods We retrospectively analyzed 5 cases with laparoscopic total extraperitoneal approach in the Synchronous treatment of adult inguinal hernia with cryptorchidism from October 2015 to October 2018. Results There were 5 patients, 2 patients had inguinal hernia with non-abdominal cryptorchidism, and 3 patients had inguinal hernia with abdominal cryptorchidism. 5 cases were successfully completed the operation of laparoscopic cryptorchidectomy and TEP. The mean operation time was (76.5 ± 10.4) minutes (65 ~ 120), and the mean postoperative in-patient time was (5.5 ± 2.2) days (4 ~ 8). The longest follow up was 36 months (mean 12 months). 1 case had scrotal seroma after operation, and was cured after suction. No recurrence, no infection, no chronic pain, no testicular atrophy and no ejaculate pain was happened. And other surgical complications were not occurred.?Conclusion?Laparoscopic total extraperitoneal approach in the Synchronous treatment of adult inguinal hernia with cryptorchidism is a feasible and safe. And it has the advantages to be popularized