关键词: 腹股沟疝, 经腹腹膜前, 腹腔镜, 扶镜

Abstract: Objective To investigate the application effect of the camera holder act in fixed scene in laparoscopic inguinal hernia TAPP repair.
Methods From January 2019 to January 2020,a total of 122 patients underwent TAPP in Shaanxi Provincial People's Hospital were retrospectively researched,63 of them underwent surgery while the camera holder act in fixed scene,the other 59 patients underwent common practice.The clinic data of operative time,hospital stay,Visual Analogue Scale(VAS),postoperative complication were analyzed.
Results All 122 patients underwent surgery successfully.The operative time of unilateral hernia was(66.4±16.2)min and the bilateral hernias was(121.4±33.2)min when the camera holder act in fixed scene,while in common practice,the operative time of unilateral hernia was(78.7±18.0)min and the bilateral hernias was(147±34.6)min.So compared with common practice,the camera holder act in fixed scene shorten operation time both in unilateral hernia and bilateral hernias(P<0.05).There was no significant difference in postoperative hospital stay,VAS score on the first day after surgery,incidence of seroma and hematomas between two groups(P>0.05).There was no hernia recurrence and mesh infection in all patients.
Conclusion The camera holder act in fixed scene make it standardized and routinized to support the laparoscope.It shorten the operation time effectively,and do not increase the complication incidence.

Key words: inguinal hernia, transabdominal preperitoneal, laparoscope, camera holder