Colak Tahsin, Akca Tamer, Kanik Arzu, Aydin Suha
Department of General Surgery, Medical Faculty of Mersin University, Icel, Turkey.
Surg Laparosc Endosc Percutan Tech. 2003 Jun;13(3):191-5. doi: 10.1097/00129689-200306000-00010.
The aim of this study was to compare laparoscopic totally extraperitoneal approach (TEP) repair with tension-free open mesh repair in inguinal hernia. One hundred thirty-four patients were allocated randomly to undergo TEP repair (n = 67) or open mesh repair (n = 67). Operative and postoperative outcomes were determined. The mean of operating time (49.67 +/- 14.11 vs. 56.64 +/- 12.32; P = 0.001), visual analog scale score (2.73 +/- 1.69 vs. 4.61 +/- 1.77; P = 0.001), hospital stay (1.8 +/- 0.7 vs. 2.7 +/- 1.6; P = 0.001), and duration of recovery (10.8 +/- 7.4 vs. 15.2 +/- 8.5; P = 0.001) was significantly less for TEP repair when compared with open mesh repair. The incidence of complications (13.4% vs. 16.4%; P = 0.631) and recurrence (2.9% vs. 5.9%; P = 0.407) was approximately equal in each group. Our results showed that laparoscopic TEP repair is superior to open mesh repair.
本研究旨在比较腹腔镜完全腹膜外修补术（TEP）与腹股沟疝无张力开放补片修补术。134例患者被随机分配接受TEP修补术（n = 67）或开放补片修补术（n = 67）。确定手术及术后结果。与开放补片修补术相比，TEP修补术的平均手术时间（49.67±14.11对56.64±12.32；P = 0.001）、视觉模拟评分（2.73±1.69对4.61±1.77；P = 0.001）、住院时间（1.8±0.7对2.7±1.6；P = 0.001）和恢复时间（10.8±7.4对15.2±8.5；P = 0.001）显著更短。每组并发症发生率（13.4%对16.4%；P = 0.631）和复发率（2.9%对5.9%；P = 0.407）大致相当。我们的结果表明，腹腔镜TEP修补术优于开放补片修补术。
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