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腹腔镜疝修补术——经腹腔腹膜前修补术（TAPP）还是/及全腹膜外修补术（TEP）？

Laparoscopic hernia repair--TAPP or/and TEP?

作者信息

Leibl B J, Jäger C, Kraft B, Kraft K, Schwarz J, Ulrich M, Bittner R

机构信息

Department for General and Visceral Surgery, Marien Hospital, Stuttgart, Germany.

出版信息

Langenbecks Arch Surg. 2005 Apr;390(2):77-82. doi: 10.1007/s00423-004-0532-5. Epub 2005 Feb 15.

DOI:10.1007/s00423-004-0532-5
PMID:15711997
Abstract

BACKGROUND

Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use.

METHODS

Results from Medline research were analysed.

RESULTS

There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations.

CONCLUSION

Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.

摘要

背景

在各种内镜下疝修补手术中，经腹腹膜前疝修补术（TAPP）和全腹膜外疝修补术（TEP）已被选定用于常规手术。

方法

对医学文献数据库（Medline）检索结果进行分析。

结果

两种技术术后发病风险相似。大型单中心系列研究中的复发率在0%至3.4%之间。两种手术都有众多适应证，经腹腹膜前疝修补术（TAPP）也可用于既往有腹膜前手术史的病例。

结论

缺乏比较这两种疝修补方法的随机试验。七项非随机研究表明复发率和发病率无差异。总体而言，经腹腹膜前疝修补术（TAPP）的学习曲线较短。

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