Longshan Central Hospital, Cixi, Zhejiang, China, 315300.
The First People's Hospital of Ningbo, Zhejiang, China, 315000.
J Int Med Res. 2024 Jun;52(6):3000605241257418. doi: 10.1177/03000605241257418.
To explore the efficacy and safety of single-incision laparoscopic (SIL) technique compared with the traditional three-port total extraperitoneal (TEP) technique for inguinal hernia repair.
This prospective, randomised study involved patients who underwent surgery for inguinal hernia at our hospital from December 2021 to July 2023. Patients were randomly assigned to SIL-TEP or TEP groups based on a computer-generated random number table. Perioperative clinical indicators for the surgical approaches were evaluated.
Of the 127 patients eligible for study, 66 were randomised to the SIL-TEP group and 61 to the TEP group. The operation time for SIL-TEP was significantly longer than for TEP but the time to return to normal activities was significantly shorter and short-term pain score was significantly lower. There were no differences between groups in intraoperative blood loss, postoperative hospital stays, pain relief time, hospitalization costs or cosmetic satisfaction scores.
While SIL-TEP is more challenging than TEP for hernia repair, we found that at our centre it is comparable with regard to overall safety and feasibility. Further studies are needed to validate our findings.
探讨单切口腹腔镜（SIL）技术与传统三孔全腹膜外（TEP）技术治疗腹股沟疝的疗效和安全性。
本前瞻性随机研究纳入了 2021 年 12 月至 2023 年 7 月在我院接受手术治疗的腹股沟疝患者。根据计算机生成的随机数表，患者被随机分配到 SIL-TEP 组或 TEP 组。评估了手术方法的围手术期临床指标。
在符合研究条件的 127 例患者中，66 例被随机分配到 SIL-TEP 组，61 例被分配到 TEP 组。SIL-TEP 的手术时间明显长于 TEP，但恢复正常活动的时间明显缩短，短期疼痛评分明显降低。两组在术中出血量、术后住院时间、疼痛缓解时间、住院费用和美容满意度评分方面无差异。
虽然 SIL-TEP 比 TEP 更具挑战性，但我们发现，在我们中心，它在整体安全性和可行性方面是相当的。需要进一步的研究来验证我们的发现。
