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由於醫療技術的進步，許多傳統開放性手術都可以改用微創手術來治療，其中又以腹腔鏡手術代表。 腹股溝疝氣在男性病患是很常見的疾病，往往會造成鼠蹊部腫塊，甚至會影響消化、疼痛等症狀。傳統的方式是在鼠蹊部打開一個5 8公分的傷口，以組織直接縫合的方式或人工網修補。 後來由於腹腔鏡的進步，發展到經腹膜疝氣修補術(TAPP)，須將腹腔鏡及器械伸進腹膜內，再打開腹膜，以人工網修補後再將腹膜關閉。然而因為TAPP要穿過腹腔，且大面積打開腹膜，並以金屬釘子固定人工網，有時會造成腸子沾黏、打釘子的地方疼痛等。 然而這樣的手術也不是每個病患都適合的，如果是疝氣時間發生過久、疝氣囊太大、嵌頓性(卡住推不回去)、心肺功能不佳、不適合做腹腔鏡手術的患者，則較不適合以此方式手術。此外由於健保給付的限制，部分黏著劑、套管及人工網等尚不在給付範圍，有時需自費約1 3萬的金額。不過腹腔鏡全腹膜外疝氣手術仍然有許多優點，仍舊是疝氣手術的最佳選擇之一。 這個手術的優點是傷口小、恢復快、手術時間短、只要半身麻醉即可完成，病患通常在手術之後2 3日內就可以出院。缺點就是目前這個...訂閱： 文章 (Atom).
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