■经腹腹膜前(TAPP)修补术和完全腹膜外(TEP)修补术是治疗成人腹股沟疝的主要手术方法,但仍有必要考虑在临床实践中选择哪一种。我们的研究旨在比较腹腔镜TAPP和腹腔镜TEP治疗成人腹股沟疝的疗效,并探讨哪种手术方法是更好的选择。
■回顾性分析2016年1月至2020年12月我院收治的686例成人腹股沟疝患者。根据不同的手术方法,他们分为两组:TAPP组(n=361)和TEP组(n=325).对这两组患者进行统计学分析,和手术时间,术后疼痛,术后住院时间,术后并发症,比较两者的复发率。
■术后住院时间无显著差异,并发症,两组复发率比较(p>0.05)。TEP组手术时间明显短于TAPP组,且差异有统计学意义(p<0.001);在术后疼痛方面,TEP组的表现优于TAPP组,差异有统计学意义(p<0.001)。
■TAPP和TEP是治疗成人腹股沟疝安全有效的手术方法。然而,与TAPP相比,TEP能显著缩短手术时间,减少术中创伤,并限制成人腹股沟疝治疗的术后疼痛。此外,它不会增加并发症或复发率,所以值得推广。
UNASSIGNED: Transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair are the primary surgical methods for the treatment of adult inguinal hernia, but it remains necessary to consider which one to choose in clinical practice. Our study seeks to compare the efficacy of laparoscopic TAPP and laparoscopic TEP in the treatment of adult inguinal hernia and to explore which surgical method is a better choice.
UNASSIGNED: A retrospective analysis of 686 adult patients with inguinal hernia admitted to our hospital from the period January 2016 to December 2020 was conducted. According to different surgical methods, they were divided into two groups: a TAPP group (n = 361) and a TEP group (n = 325). These two groups of patients were statistically analyzed, and the operation time, postoperative pain, postoperative hospital stay length, postoperative complications, and recurrence rate were compared between them.
UNASSIGNED: There were no significant differences in postoperative hospital stay, complications, and the recurrence rate between the two groups (p > 0.05). The duration of operation in the TEP group was significantly shorter than that in the TAPP group, and the difference was statistically significant (p < 0.001); in terms of postoperative pain, the TEP group fared better than the TAPP group, and the difference was statistically significant (p < 0.001).
UNASSIGNED: TAPP and TEP are safe and effective surgical methods in the treatment of adult inguinal hernia. However, compared with TAPP, TEP can significantly shorten the operative time, reduce intraoperative trauma, and limit postoperative pain in the treatment of adult inguinal hernia. Furthermore, it does not increase the rate of complications or recurrence, so it is worth popularizing.