PDF(Pubmed)
Abstract：
UNASSIGNED: Totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) are laparoscopic techniques frequently used in inguinal hernia surgeries. There are very few studies directly comparing the outcomes of TEP and TAPP. The present study compared both techniques\' technical aspects, intraoperative and postoperative early complications.
UNASSIGNED: In this study, 108 patients diagnosed with inguinal hernia underwent laparoscopic surgery between May 2016 and December 2020. Seventy six of these patients (70.4%) underwent TEP, and 32 (29.6%) underwent TAPP. This study was retrospective. However, the data were registered prospectively (including video recordings).
UNASSIGNED: No significant difference was found between the groups regarding age, sex, body mass index, American Society of Anesthesiologist physical status classification, and duration of hospitalization. Although the TEP group had a higher overall complication rate than TAPP, the difference between the two groups was not significant (TEP, 9.2% vs. TAPP, 3.1%, p = 0.979). Two conversions and two recurrences (2.6% each) were observed in TEP. The hematoma was seen in one case in both techniques (3.1% vs. 1.3%, p = 0.665), respectively. A patient in the TEP group developed a pseudoaneurysm and was treated with endovascular embolization.
UNASSIGNED: In our study, conversion and intraoperative early postoperative complications were more prevalent in TEP than TAPP. On the other hand, no significant difference was determined between the results of the two techniques. It has been found that TAPP is as safe as TEP in inguinal hernia surgery; however, the superiority of one method over the other was not observed in this study.
UNASSIGNED: In this study, 108 patients diagnosed with inguinal hernia underwent laparoscopic surgery between May 2016 and December 2020. Seventy six of these patients (70.4%) underwent TEP, and 32 (29.6%) underwent TAPP. This study was retrospective. However, the data were registered prospectively (including video recordings).
UNASSIGNED: No significant difference was found between the groups regarding age, sex, body mass index, American Society of Anesthesiologist physical status classification, and duration of hospitalization. Although the TEP group had a higher overall complication rate than TAPP, the difference between the two groups was not significant (TEP, 9.2% vs. TAPP, 3.1%, p = 0.979). Two conversions and two recurrences (2.6% each) were observed in TEP. The hematoma was seen in one case in both techniques (3.1% vs. 1.3%, p = 0.665), respectively. A patient in the TEP group developed a pseudoaneurysm and was treated with endovascular embolization.
UNASSIGNED: In our study, conversion and intraoperative early postoperative complications were more prevalent in TEP than TAPP. On the other hand, no significant difference was determined between the results of the two techniques. It has been found that TAPP is as safe as TEP in inguinal hernia surgery; however, the superiority of one method over the other was not observed in this study.
摘要：
UNASSIGNED：完全腹膜外（TEP）和经腹腹膜前（TAPP）是腹股沟疝手术中常用的腹腔镜技术。很少有研究直接比较TEP和TAPP的结果。本研究比较了这两种技术的技术方面，术中术后早期并发症。
未经批准：在这项研究中，2016年5月至2020年12月，108例诊断为腹股沟疝的患者接受了腹腔镜手术。这些患者中有76例（70.4%）接受了TEP，32例(29.6%)接受TAPP。这项研究是回顾性的。然而,数据进行了前瞻性登记(包括录像).
未经评估：两组在年龄方面没有发现显著差异，性别,身体质量指数,美国麻醉师学会身体状况分类，和住院时间。尽管TEP组的总体并发症发生率高于TAPP，两组之间的差异无统计学意义（TEP，9.2%与TAPP,3.1%,p=0.979)。在TEP中观察到两次转化和两次复发(各2.6%)。在两种技术中都出现了血肿（3.1％与1.3%,p=0.665),分别。TEP组的一名患者出现了假性动脉瘤，并接受了血管内栓塞治疗。
未经批准：在我们的研究中，转换和术中早期术后并发症在TEP中的发生率高于TAPP.另一方面,两种技术的结果之间没有显着差异。已发现TAPP在腹股沟疝手术中与TEP一样安全；然而，在这项研究中没有观察到一种方法优于另一种方法.
未经批准：在这项研究中，2016年5月至2020年12月，108例诊断为腹股沟疝的患者接受了腹腔镜手术。这些患者中有76例（70.4%）接受了TEP，32例(29.6%)接受TAPP。这项研究是回顾性的。然而,数据进行了前瞻性登记(包括录像).
未经评估：两组在年龄方面没有发现显著差异，性别,身体质量指数,美国麻醉师学会身体状况分类，和住院时间。尽管TEP组的总体并发症发生率高于TAPP，两组之间的差异无统计学意义（TEP，9.2%与TAPP,3.1%,p=0.979)。在TEP中观察到两次转化和两次复发(各2.6%)。在两种技术中都出现了血肿（3.1％与1.3%,p=0.665),分别。TEP组的一名患者出现了假性动脉瘤，并接受了血管内栓塞治疗。
未经批准：在我们的研究中，转换和术中早期术后并发症在TEP中的发生率高于TAPP.另一方面,两种技术的结果之间没有显着差异。已发现TAPP在腹股沟疝手术中与TEP一样安全；然而，在这项研究中没有观察到一种方法优于另一种方法.
