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中华普通外科学文献(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 237 -243. doi: 10.3877/cma.j.issn.1674-0793.2025.04.004

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单孔完全腹膜外疝修补术的现状与进展
吴卫东1,(), 张一忠2, 黄锦荣3   
  1. 1 201620 上海交通大学医学院附属第一人民医院 上海第一人民医院普外中心胃肠外科
    2 315000 宁波大学附属第一医院肝胆胰疝外科
    3 325000 宁德,宁德师范学院附属宁德市医院胃肠外科
  • 收稿日期:2025-04-13 出版日期:2025-08-01
  • 通信作者: 吴卫东

Current status and progress of single incision laparoscopic totally extraperitoneal

Weidong Wu(), Yizhong Zhang, Jinrong Huang   

  • Received:2025-04-13 Published:2025-08-01
  • Corresponding author: Weidong Wu
引用本文:

吴卫东, 张一忠, 黄锦荣. 单孔完全腹膜外疝修补术的现状与进展[J/OL]. 中华普通外科学文献(电子版), 2025, 19(04): 237-243.

Weidong Wu, Yizhong Zhang, Jinrong Huang. Current status and progress of single incision laparoscopic totally extraperitoneal[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2025, 19(04): 237-243.

图1 侧方入路单孔完全腹膜外疝修补术(L-SILTEP)流程 A.切口设计;B.Bogros间隙初步拓展;C.入Retzius间隙;D.松解内环周边;E.回纳疝囊;F.精索结构壁化;G.拓展Retzius间隙;H.扩大Bogros间隙;I.解剖完成视图;J.放置补片,直视下排气
图2 经腹腔腹膜前疝修补术(TAPP)后复发疝单孔完全腹膜外疝修补术(SIL-TEP)策略  A.主动切开腹膜;B.沿补片下缘切断;C.残留部分补片,保护重要结构;D.镜下缝合关闭腹膜破口
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