Objective To compare the outcomes of laparoscopic transabdominal preperitneal hernia repair (TAPP) and totally extrapreperitoneal hernia repair (TEP).Methods A Retrospective analysis was conducted on 380 patients with unilateral inguinal hernia from January 2013 to December 2017.All the patients who met the inclusion criteria were divided into TAPP group (n=233) and TEP group (n=147).The operative time,hospitalization,costs,complications and recurrence rate were observed.Results All the patients recovered well.There was no significantly difference in operation time and hospitalization (P＞0.05).TAPP had an advantage in detecting occult hernias (P＜0.05),but the incidence of seroma was higher than TEP (12％ vs 4.7％,P＜0.05).There was no significant difference in the rate of overall complications (P＞0.05).Conclusions The efficacy of TAPP and TEP are comparable.The choice of the operation is depend on surgeon's experience.%目的 比较腹腔镜经腹腹膜前疝修补术(laparoscopic trans-abdominal preperitoneal hernia repair,TAPP)与腹腔镜完全腹膜外疝修补术(laparoscopic totally extra-peritoneal,TEP)治疗腹股沟疝的手术疗效.方法 回顾性分析2013年1月至2017年12月,广西医科大学第四附属医院柳州市工人医院行腹腔镜手术治疗的380例单侧腹股沟疝患者的临床资料.其中TAPP组患者233例,TEP组患者147例,分析2组的手术时间、住院时间、住院费用、手术并发症、复发率等,比较2组患者的手术疗效.结果 所有患者术后恢复顺利,2组患者的手术时间、住院时间比较,差异无统计学意义(P＞0.05);TAPP在探查隐匿疝方面较TEP有优势,差异有统计学意义(P＜0.05),但TAPP组血清肿的发生率较高,差异有统计学意义(12％ vs 4.7％,P＜ 0.05),2组总体并发症的发生率比较,差异无统计学意义(P＞0.05).结论 TAPP与TEP治疗腹股沟疝手术疗效无差异,手术方式的选择根据外科医师的经验选择.
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