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Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)].腹股沟疝的腹腔镜（TAPP）和内镜（TEP）治疗指南[国际内镜疝学会（IEHS）]
Surg Endosc. 2011 Sep;25(9):2773-843. doi: 10.1007/s00464-011-1799-6. Epub 2011 Jul 13.
2
Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial.开放式无张力网塞修补术、经腹腹膜前（TAPP）和完全腹膜外（TEP）腹腔镜技术治疗原发性单侧腹股沟疝的比较：一项前瞻性随机对照试验。
Surg Endosc. 2011 Jan;25(1):234-9. doi: 10.1007/s00464-010-1165-0. Epub 2010 Jun 15.
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Endoscopic total extraperitoneal repair of recurrent inguinal hernia: a 5-year review.内镜全腹膜外修补复发性腹股沟疝：5 年回顾。
Hernia. 2010 Oct;14(5):477-80. doi: 10.1007/s10029-010-0675-y. Epub 2010 May 21.
4
Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial.完全腹膜外腹股沟疝修补术与李金斯坦修补术（LEVEL 试验）的比较：一项随机对照试验。
Ann Surg. 2010 May;251(5):819-24. doi: 10.1097/SLA.0b013e3181d96c32.
5
Four-arm randomized trial comparing laparoscopic and open hernia repairs.四臂随机临床试验比较腹腔镜疝修补术与开放疝修补术。
Int J Surg. 2010;8(1):25-8. doi: 10.1016/j.ijsu.2009.09.010. Epub 2009 Sep 29.
6
European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.欧洲疝学会关于成人腹股沟疝治疗的指南。
Hernia. 2009 Aug;13(4):343-403. doi: 10.1007/s10029-009-0529-7. Epub 2009 Jul 28.
7
Feasibility of right-sided total extraperitoneal procedure for inguinal hernia repair after appendectomy: a prospective cohort study.阑尾切除术后腹股沟疝修补采用右侧完全腹膜外手术的可行性：一项前瞻性队列研究。
Surg Endosc. 2009 Aug;23(8):1754-8. doi: 10.1007/s00464-008-0187-3. Epub 2008 Dec 5.
8
Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years.腹腔镜完全腹膜外腹股沟疝修补术：15年间3100例疝修补术的经验教训
Surg Endosc. 2009 Mar;23(3):482-6. doi: 10.1007/s00464-008-0118-3. Epub 2008 Sep 23.
9
Total extraperitoneal (TEP) mesh repair of inguinal hernia in the developing world: comparison of low-cost indigenous balloon dissection versus direct telescopic dissection: a prospective randomized controlled study.发展中国家腹股沟疝的完全腹膜外（TEP）补片修补术：低成本国产球囊分离术与直接腹腔镜分离术的比较：一项前瞻性随机对照研究
Surg Endosc. 2008 Sep;22(9):1947-58. doi: 10.1007/s00464-008-9897-9. Epub 2008 Apr 24.
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Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review.开放或内镜下完全腹膜外腹股沟疝修补术？一项系统评价。
Surg Endosc. 2007 Feb;21(2):161-6. doi: 10.1007/s00464-006-0167-4. Epub 2006 Dec 14.

腹腔镜完全腹膜外腹股沟疝修补术中转为Stoppa手术

Conversion to Stoppa procedure in laparoscopic totally extraperitoneal inguinal hernia repair.

作者信息

Ates Mustafa, Dirican Abuzer, Ozgor Dincer, Gonultas Fatih, Isik Burak

机构信息

Department of General Surgery, Inonu University Medical Faculty, Malatya, Turkey (all authors).

出版信息

JSLS. 2012 Apr-Jun;16(2):250-4. doi: 10.4293/108680812x13427982376347.

DOI:10.4293/108680812x13427982376347
PMID:23477173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3481225/
Abstract

BACKGROUND AND OBJECTIVES

Conversion to open surgery is an important problem, especially during the learning curve of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair.

METHODS

Here, we discuss conversion to the Stoppa procedure during laparoscopic TEP inguinal hernia repair. Outcomes of patients who underwent conversion to an open approach during laparoscopic TEP inguinal hernia repair between September 2004 and May 2010 were evaluated.

RESULTS

In total, 259 consecutive patients with 281 inguinal hernias underwent laparoscopic TEP inguinal hernia repair. Thirty-one hernia repairs (11%) were converted to open conventional surgical procedures. Twenty-eight of 31 laparoscopic TEP hernia repairs were converted to modified Stoppa procedures, because of technical difficulties. Three of these patients underwent Lichtenstein hernia repairs, because they had undergone previous surgeries.

CONCLUSION

Stoppa is an easy and successful procedure used to solve problems during TEP hernia repair. The Lichtenstein procedure may be a suitable option in patients who have undergone previous operations, such as a radical prostatectomy.

摘要

背景与目的

中转开腹手术是一个重要问题，尤其是在腹腔镜完全腹膜外（TEP）腹股沟疝修补术的学习曲线阶段。

方法

在此，我们讨论腹腔镜TEP腹股沟疝修补术中中转至Stoppa手术的情况。对2004年9月至2010年5月期间在腹腔镜TEP腹股沟疝修补术中中转至开放手术方式的患者的结局进行了评估。

结果

共有259例连续患者的281例腹股沟疝接受了腹腔镜TEP腹股沟疝修补术。31例疝修补术（11%）中转至开放传统手术方式。31例腹腔镜TEP疝修补术中的28例因技术困难中转至改良Stoppa手术。其中3例患者接受了Lichtenstein疝修补术，因为他们之前接受过手术。

结论

Stoppa是一种用于解决TEP疝修补术中问题的简单且成功的手术。对于之前接受过如根治性前列腺切除术等手术的患者，Lichtenstein手术可能是一个合适的选择。