Department of Surgery, Yong Loo Lin School of Medicine, Minimally Invasive Surgical Centre, National University of Singapore, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Hernia. 2013 Apr;17(2):217-21. doi: 10.1007/s10029-012-0968-4. Epub 2012 Jul 25.
Developments in minimal access surgery brought a new concept: single-port endolaparoscopic surgery (SPES). The aim of our study is to verify the safety and feasibility of SPES TEP hernia repair and report our initial clinical outcome.
We prospectively collected data of all patients who underwent SPES TEP repair from May 2009 to December 2010. Data regarding patient demographics, type, size and location of hernia, port devices used, type of mesh and fixation, operative time, complications, length of stay and cosmetic results were collected and analyzed.
A total of 47 patients (36 M, 11 F) underwent 70 SPES TEP hernia repairs; median age was 53 years (range 22-80). 60 % had indirect hernia, 27.5 % direct, 8.5 % pantaloon, 2 % femoral and 2 % recurrent hernias. Mean hernia size was 1.91 ± 0.67 cm. Port devices used include 33 Triport, 12 SILS and 2 SSL. We used anatomical mesh in 20; flat polypropylene in 10 and titanium-coated polypropylene mesh in 17 patients. Fixation of mesh was achieved in 18 patients with absorbable tacks, 8 with titanium tacks, 1 with fibrin glue, and no tack in 20 with anatomical mesh. No conversions occurred and small seroma was reported in 3 (6.3 %) patients. Mean operative time was 96.48 min (range: 50-150). Average hospital stay was 11.8 h (range: 9-26). Median follow-up was 11 months (range 6-18), and no recurrence was noted. 82.6 % patients were very satisfied, and 17.4 % were satisfied with the procedure.
SPES TEP repair is a safe and feasible technique with good patient satisfaction.
微创外科的发展带来了新概念：单孔腹腔镜手术（SPES）。我们的研究旨在验证 SPES TEP 疝修补术的安全性和可行性，并报告我们的初步临床结果。
我们前瞻性地收集了 2009 年 5 月至 2010 年 12 月期间所有接受 SPES TEP 修复的患者的数据。收集并分析了患者人口统计学、疝的类型、大小和位置、使用的端口设备、网片类型和固定方式、手术时间、并发症、住院时间和美容效果等数据。
共有 47 例（36 例男性，11 例女性）患者接受了 70 例 SPES TEP 疝修补术；中位年龄为 53 岁（范围 22-80 岁）。60%为间接疝，27.5%为直接疝，8.5%为裤型疝，2%为股疝，2%为复发性疝。平均疝大小为 1.91 ± 0.67 cm。使用的端口设备包括 33 个 Triport、12 个 SILS 和 2 个 SSL。我们在 20 例患者中使用解剖网片，10 例患者使用平聚丙烯网片，17 例患者使用钛涂层聚丙烯网片。18 例患者采用可吸收钉固定网片，8 例患者采用钛钉固定，1 例患者采用纤维蛋白胶固定，20 例患者采用解剖网片无钉固定。无中转开腹，3 例（6.3%）患者出现小的血清肿。平均手术时间为 96.48 分钟（范围：50-150 分钟）。平均住院时间为 11.8 小时（范围：9-26 小时）。中位随访时间为 11 个月（范围：6-18 个月），无复发。82.6%的患者对手术非常满意，17.4%的患者对手术满意。
SPES TEP 修复是一种安全可行的技术，患者满意度高。
