【摘要】 目的：介绍腹腔镜治疗小儿斜疝的经验和体会。方法：应用腹腔镜、自制的带线缝针和体外缝合体外打结技术为500 例小儿腹股沟斜疝行疝囊高位结扎术,总结临床资料进行分析。结果：1 例复发,治愈率99.8 % ,复发率0.2 % ,1 例患者脐缘小切口大网膜突出,无血肿、出血等并发症。结论：应用腹腔镜技术治疗小儿腹股沟斜疝安全、有效、简单、快捷、损伤小、疤痕细微,比传统的高位结扎术优越。

    【关键词】 疝;腹股沟;腹腔镜术;儿童

    Laparoscopic Pediatric Hernia Repair And The Clinical Practice ManXiaodongDepartment of General Surgery of SongYuanShi hospital .

    【Abstract】 Objective To introduce laparoscopic herniotomy for indirect inguinal hernia in children. Methods Five hundred children with indirect inguinal hernias were treated using laparoscopic instruments , a special needle and a technique of extraabdominal suture and high ligation of the hernia sac. The clinical data were summarized and analyzed retrospectively. Results Hernias recurred in 1 cases. The cure rate of this group was 99.8 %;the recurrence rate was 0.2 %for the patients with a followup from one week to two years. Omentocele at umbilical incision was discovered in 1 cases. No hematoma , no bleeding and no other complications were observed in this group. Conclusion The treatment of indirect inguinal hernias in children using the laparoscopic technique is simple , safe , effective , and quick ,with least injury and scar. The advantages are greater than those with open techniques. ......