腹腔镜经腹腹膜前疝修补术与完全腹膜外疝修补术治疗双侧腹股沟疝疗效比较

Comparisonof transabdominal preperitoneal and totally extraperitoneal laparoscopic herniorrhaphy for bilateral inguinal hernia

目的比较腹腔镜经腹腹膜前疝修补术(TAPP)和完全腹膜外疝修补术(TEP)两种术式对双侧腹股沟疝的疗效。方法选取2011年1月至2015年12月,64例因双侧腹股沟疝在中信惠州医院微创外科进行疝修补术的患者为研究对象,随机进行TAPP或TEP手术,比较两者在手术时间、住院天数、术后并发症、术中术式改变比例、手术后1年复发比例等方面的差别。结果 TEP手术时间较TAPP长;两者在住院天数、术后并发症发生率、改变术式比例、术后1年复发情况等方面差异均无统计学意义(P>0.05)。结论 TAPP和TEP均能够安全、有效地治疗腹股沟双侧疝,两者的安全性和治疗效果相当。

Objective To compare the effect of transabdominal preperitoneal（ TAPP） and totally extraperitoneal（ TEP） laparoscopic herniorrhaphy for bilateral inguinal hernia. Methods Sixty-four patients who underwent surgical repair due to bilateral inguinal hernia were studied. The patients were randomly divided into the TAPP group and the TEP group. The operation time,length of stay,complications,surgical method conversion,recurrence rate at 1 year after the operation between the two groups were compared.Results The operation time of TEP was longer than that of TAPP. There were no differences between the TAPP and the TEP groups in length of stay,complications,surgical method conversion,and recurrence rate at 1 year after the surgery. Conclusion Both TAPP and TEP cure bilateral inguinal hernia safely and effectively,the safety and effectiveness of TAPP and TEP are equivalent.