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Abstract：
We aimed to explore the feasibility and the safety of the laparoscopic surgery for incarcerated indirect inguinal hernia (IIH) in children. From January 2012 to December 2014, 64 children were enrolled into this study. All 64 patients received laparoscopic surgery and we reviewed their perioperative and postoperative follow-up studies. In addition, we enrolled 60 cases of children who received traditional surgery of IIH administered through minimally invasive surgery as the control group. Results from the present study showed that the mean operation time for the laparoscopic group was 41.5 min (range, 15-80 min) which was significantly shorter than the control group. Nine cases developed incarcerated intestine necrosis, expanded umbilical incision and parallel resection anastomosis. They received laparoscopic hernia sac high ligation. Only 5 cases developed scrotum edema after the surgery. The postoperative length of the stay ranged from 2 to 7 days (average, 3.2). The postoperative follow-up was from 6 months to 1 year and no relapse or secondary testicular atrophy was observed in the laparoscopic group. The operation time, incidence of postoperative complications and length of stay in the laparoscopic group were decreased compared to the control group, and differences were statistically significant (P<0.05). In conclusion, laparoscopic surgery treatment for incarcerated inguinal hernia is safe and feasible and produced better results compared with the alternative.
摘要：
我们旨在探讨腹腔镜手术治疗儿童嵌顿性腹股沟斜疝（IIH）的可行性和安全性。从2012年1月至2014年12月，64名儿童被纳入本研究。所有64例患者均接受腹腔镜手术，我们回顾了他们的围手术期及术后随访研究。此外,我们纳入60例接受传统IIH微创手术的患儿作为对照组.本研究的结果表明，腹腔镜组的平均手术时间为41.5分钟（范围，15-80分钟），明显短于对照组。9例发生肠嵌顿坏死，扩大脐带切口及平行切除吻合术。他们接受了腹腔镜疝囊高位结扎术。术后仅5例出现阴囊水肿。术后住院时间为2~7天(平均,3.2).术后随访6个月至1年，腹腔镜组无复发或继发性睾丸萎缩。操作时间,腹腔镜组术后并发症发生率和住院时间均较对照组降低,差异均有统计学意义(P<0.05)。总之,腹腔镜手术治疗嵌顿性腹股沟疝是安全可行的，与替代方法相比效果更好。
