关键词: Inguinal hernia Laparoscopic surgery Minimally invasive surgery Single-port Totally extraperitoneal repair Two-port

Mesh : Humans Hernia, Inguinal / surgery Retrospective Studies Herniorrhaphy Laparoscopy Pain, Postoperative Treatment Outcome

来  源:   DOI:10.1007/s13304-023-01716-z

Abstract:
The aim of this study is to compare the feasibility and efficacy of two-port (single incision plus one port) laparoscopic totally extraperitoneal repair (TEP) with single-port TEP for the treatment of inguinal hernia. We performed a retrospective comparative study from a prospectively maintained database. A cohort of 229 patients with inguinal hernia who underwent TEP were included. Of these patients, 124 underwent two-port TEP and 105 underwent single-port TEP. Differences in surgical outcomes were compared. The mean operative time was shorter in the two-port TEP group compared to the single-port TEP group (55.3 ± 13.1 vs. 65.1 ± 16.6 min, P < 0.001). There was no significant difference between the two groups in terms of other surgical outcomes including postoperative pain, postoperative hospital stay, time to resume daily activities, cosmetic satisfaction and complications. Two-port TEP is associated with a shorter operative time compared to single-port TEP, while the other outcomes evaluated in this study appear to be comparable.
摘要:
本研究的目的是比较两孔(单切口加一孔)腹腔镜完全腹膜外修补术(TEP)与单孔TEP治疗腹股沟疝的可行性和疗效。我们从前瞻性维护的数据库中进行了回顾性比较研究。纳入了229例接受TEP的腹股沟疝患者。在这些病人中,124例接受了双端口TEP,105例接受了单端口TEP。比较手术结果的差异。与单端口TEP组相比,双端口TEP组的平均手术时间较短(55.3±13.1vs.65.1±16.6min,P<0.001)。在包括术后疼痛在内的其他手术结果方面,两组之间没有显着差异。术后住院时间,恢复日常活动的时间,化妆品满意度和并发症。与单端口TEP相比,双端口TEP的手术时间更短。而本研究中评估的其他结果似乎具有可比性。
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