Abstract：Objective: To evaluate the feasibility, efficacy and safety of single channel laparoscopic needle insertion for pediatric patients with patent closure without closure of the sheath. Method: A retrospective analysis of 65 males from January 2016 to April 2017 was performed. There were 32 cases of needle insertion under the umbilicus and 33 cases of traditional open surgery. The clinical data of the two groups were compared. The operation time, bleeding volume, incision length, hospitalization time, treatment cost, scrotal swelling and postoperative complications were recorded. Results: Transumbilical single channel laparoscopic Crochet in the operation time, bleeding volume, incision length and hospitalization time were better than the open group, but the cost of hospitalization was higher than that of the traditional open surgery group, the differences were statistically significant (P<0.05). The postoperative complications compared with no significant difference (P>0.05). Conclusion: In addition to the advantages of traditional laparoscopic surgery, the new technique has the advantages of simple operation, no special equipment, easy popularization and so on. It has great clinical practical value.
张斌斌, 汪峰, 郭巍, 靳永胜, 李义, 高继学, 强亚勇. 经脐单通道腹腔镜下钩针应用于小儿未闭鞘状突的临床分析[J]. 河北医学, 2017, 23(8): 1275-1277.
ZHANG Binbin, WANG Feng, GUO Wei, et al. The Application of Umbilical Single Channel Laparoscopic Hook Insertion to the Patent Sheath Process in Children. 河北医学, 2017, 23(8): 1275-1277.
[1] Chang SJ, Chen JY, Hsu CK, et al. The incidence of inguinal hernia and associated risk factors of incarceration in pediatric inguinal hernia:a nation-wide longitudinal population-based study[J].Hernia, 2016, 20(4): 559~563. [2] Wolak PK, Patkowski D. Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique-own experience[J].Wideochir Inne Tech Maloinwazyjne, 2014, 9(1): 53~58. [3] Rafiei MH, Jazini A. Is the ligation of hernial sac necessary in herniotomy for children: A randomized controlled trial of evaluating surgical complications and duration[J]. Adv Biomed Res, 2015, 11(4): 97. [4] Antoniou D, Karetsos C. Laparoscopy or retroperitoneoscopy: which is the best approach in pediatric urology[J].Transl Pediatr, 2016, 5(4): 205~213. [5] Saha M. Laparoscopic extracorporeal ligation of the internal inguinal ring by a spinal needle: a simple method of hernia repair in children[J].Indian Surg, 2016, 78(2): 85~89. [6] Wenk K, Sick B, Sasse T, et al. Incidence of metachronous contralateral inguinal hernias in children following unilateral repair-A meta-analysis of prospective studies[J].Pediatr Surg, 2015,50(12): 2147~2154. [7] Chan IH, Wong KK. Common urological problems in children: inguinoscrotal pathologies[J].Hong Kong Med J, 2017, 23: 1~10. [8] 余文俊,罗金泰,孙北望,等.微型腹腔镜与开放手术治疗小儿鞘膜积液疗效比较[J].临床泌尿外科杂志,2015,(2):165~167. [9] Yang XD, Wu Y, Xiang B, et al. Ten-year experience of laparoscopic repair of pediatric hydrocele and the long-term follow-up results[J].Pediatr Surg, 2015,50(11): 1987~1990. [10] Bertozzi M, Marchesini L, Tesoro S, et al. Laparoscopic herniorrhaphy in children[J].Pediatr Med Chir, 2015, 37(2): 12~15. [11] 石元同,张思德.腹腔镜与微创小切口手术治疗小儿腹股沟疝的临床疗效比较[J].腹腔镜外科杂志,2017,(2):105~107. [12] 冯力,卢宗耀.腔镜手术治疗小儿单侧鞘膜积液对手术指标及并发症的影响[J].腹腔镜外科杂志,2016,(11):872~874. [13] Esposito C, St Peter SD, Escolino M, et al. Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review[J].Laparoendosc Adv Surg Tech A, 2014, 24(11): 811~818. [14] Spinelli G, Vargas M, Aprea G, et al. Pediatric anesthesia for minimally invasive surgery in pediatric urology[J].Transl Pediatr, 2016, 5(4): 214~221. [15] Peng Y, Li C, Lin W, et al. Application of a laparoscopic, single-port,double-needle technique for pediatric hydroceles with multiple peritoneal folds:a trial from a single-center 5-year experience[J].Urology, 2015, 85 (6): 1466~1470.
2017, Vol. 23 
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