Single port laparoscopic totally extraperitoneal hernioplasty: a comparative study of short-term outcome with conventional laparoscopic totally extraperitoneal hernioplasty.

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Tytuł:: Single port laparoscopic totally extraperitoneal hernioplasty: a comparative study of short-term outcome with conventional laparoscopic totally extraperitoneal hernioplasty.
Autorzy:: Kim JH; Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.
Lee YS
Kim JJ
Park SM
Źródło:: World journal of surgery [World J Surg] 2013 Apr; Vol. 37 (4), pp. 746-51.
Typ publikacji:: Comparative Study; Evaluation Study; Journal Article
Język:: English
Imprint Name(s):: Original Publication: New York, Springer International.
MeSH Terms:: Hernia, Inguinal/*surgery
Herniorrhaphy/*methods
Laparoscopy/*methods
Adult ; Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Operative Time ; Peritoneum ; Postoperative Complications/epidemiology ; Retrospective Studies ; Treatment Outcome
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Entry Date(s):: Date Created: 20130130 Date Completed: 20130826 Latest Revision: 20220331
Update Code:: 20240104
DOI:: 10.1007/s00268-013-1925-9
PMID:: 23358595
: Czasopismo naukowe

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Background: Recently, single port laparoscopic surgery has begun to develop as an extension of minimally invasive surgery, but there have been only a few reports of single port laparoscopic totally extraperitoneal (SPLTEP) hernioplasty. In addition, there are few comparative studies with conventional laparoscopic totally extraperitoneal (CLTEP) hernioplasty. The aim of the present study was to report our experience with SPLTEP hernioplasty and to compare short-term outcomes for SPLTEP hernioplasty with CLTEP hernioplasty.
Methods: Data were prospectively collected for all patients undergoing SPLTEP hernioplasty for inguinal hernia at Incheon St. Mary's Hospital, Incheon, Korea. Data for the SPLTEP group (n = 76 patients enrolled between June 2010 and May 2011) were compared retrospectively with data for the CLTEP group (n = 93 patients enrolled between June 2009 and May 2010).
Results: There were no significant differences in patient demographics. This study showed no significant difference in terms of operative time between the two groups (SPLTEP group 54.0 min vs. CLTEP group 47.8 min; p = 0.07). There were no conversions to conventional TEP hernioplasty or transabdominal preperitoneal hernioplasty or open surgery in SPLTEP hernioplasty. Morbidity rates were 7.9 % (n = 6) in the SPLTEP group and 10.8 % (n = 10) in the CLTEP group, and the difference was not significant.
Conclusions: Single port laparoscopic totally extraperitoneal hernioplasty is technically feasible and the short-term operative outcome is comparable to that of CLTEP hernioplasty. Future large-scale prospective controlled studies and long-term analysis are needed to establish the cosmetic outcomes, quality of life, long-term recurrence rate, and long-term complication rate of SPLTEP hernioplasty.

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