Bittner R, Leibl B, Kraft K, Däubler P, Schwarz J
Abteilung für Allgemeinchirurgie, Marienhospital Stuttgart.
Zentralbl Chir. 1996;121(4):313-9.
A prospective study of 900 patients with inguinal hernia who underwent transabdominal preperitoneal laparoscopic hernia repair (TAPP) was performed. The median operation time was 50 minutes (range 20-155); overall 44 complications (4.8%) were recorded. 8 patients (0.9%) required reoperation, in 6 cases because of postoperative bleeding or haematoma formation respectively, in one case because of testicular tenderness and in one case because of a mesh infection. Now, with the maximum follow-up of 26 months, 12 recurrences have been noted, giving a 1.33% recurrence rate. Return to work was 21 days (range 4-47 days). One year postoperatively about 83% of patients were without any complaints. A strict correlation between the complication and recurrence rate and the learning curve was found. It is concluded, that laparoscopic hernia repair (TAPP) is a safe and effective procedure. Complications and hernia recurrences diminish with experience.
对900例行经腹腹膜前腹腔镜疝修补术（TAPP）的腹股沟疝患者进行了一项前瞻性研究。中位手术时间为50分钟（范围20 - 155分钟）；共记录到44例并发症（4.8%）。8例患者（0.9%）需要再次手术，其中6例分别是由于术后出血或血肿形成，1例是由于睾丸压痛，1例是由于补片感染。目前，最长随访26个月，已发现12例复发，复发率为1.33%。恢复工作时间为21天（范围4 - 47天）。术后一年约83%的患者无任何不适。发现并发症和复发率与学习曲线之间存在严格相关性。得出结论，腹腔镜疝修补术（TAPP）是一种安全有效的手术方法。随着经验的积累，并发症和疝复发会减少。
