腹腔镜下完全腹膜外疝修补术与经腹腔腹膜前疝修补术治疗成人单侧初发腹股沟疝的效果比较

doi:10.20047/j.issn1673-7210.2023.10.18

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Abstract Objective To compare the clinical effect of laparoscopic totally extraperitoneal herniorrhaphy (TEP) and transgastric abdominal pre-peritoneal herniorrhaphy (TAPP) in the treatment of unilateral primary inguinal hernia in adults. Methods A total of 82 patients with unilateral primary inguinal hernia admitted to Taicang Hospital of Traditional Chinese Medicine in Jiangsu Province from May 2019 to June 2021 were selected as the research objects. They were divided into TEP group (receiving TEP treatment) and TAPP group (receiving TAPP treatment) by random number table method, with 41 cases in each group. Operation-related indexes, hospitalization costs, blood gas changes (the difference of partial pressure of carbon dioxide in arterial blood [ΔPaCO2] before and after surgery, the difference of the intraoperative maximum of transcutaneous monitoring of partial pressure of end-tidal carbon dioxide [TcCO2] and the preoperative TcCO2 [ΔTcCO2], the time to reach the maximum TcCO2 [Tmax]), postoperative pain, postoperative complications, and recurrence six months after surgery were compared between the two groups. Results Operating time and Tmax in TEP group were shorter than those in TAPP group, hospitalization cost was lower than that in TAPP group, ΔPaCO2 and ΔTcCO2 were higher than those in TAPP group, and the differences were statistically significant (P＜0.05). There were no significant differences in intraoperative blood loss, length of hospital stay, duration of pain, 24 h postoperative visual analog scale score, total incidence of postoperative complications, and recurrence rate at six months after surgery between the two groups (P＞0.05). Conclusion TEP is superior to TAPP in terms of surgical time and hospitalization cost, and TAPP has advantages in reducing carbon dioxide in vivo during surgery. The two surgical methods are similar in the treatment of postoperative pain in adults with unilateral primary inguinal hernia, and both are safe and effective.

Key words： Unilateral primary inguinal hernia Totally extraperitoneal herniorrhaphy Transgastric abdominal pre-peritoneal herniorrhaphy Clinical effect

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	ZHANG Minjian1 WU Yongyou2 ZHONG Fengyun2 WU Weibing1 LI Jia1

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ZHANG Minjian1 WU Yongyou2 ZHONG Fengyun2 WU Weibing1 LI Jia1. Comparison of the effect of laparoscopic totally extraperitoneal herniorrhaphy and transgastric abdominal pre-peritoneal herniorrhaphy in the treatment of unilateral primary inguinal hernia in adults[J]. 中国医药导报, 2023, 20(10): 84-87,99.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.10.18 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I10/84

[1] 李涛云.腹腔镜TAPP和TEP在成人腹股沟疝中的临床应用效果，价值比较研究[J].饮食保健，2021，41（6）：37- 39.
[2] O’Brien J，Sinha S，Turner R. Inguinal hernia repair：a global perspective [J]. ANZ J Surg，2021，91（11）：2288-2295.
[3] 廖伟家，潘梓荣，郭东来，等.对比TAPP、TEP与传统开腹手术治疗腹股沟疝的临床效果[J].中外医疗，2020，39（2）：14-16.
[4] Asuri K，Mohammad A，Prajapati OP，et al. A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal（TEP）and transabdominal pre-peritoneal（TAPP）inguinal hernia repair [J]. Surg Endosc，2021，35（6）：2936-2941.
[5] 杨寅熙，吴一峰，吴铁.TEP与TAPP术治疗腹股沟疝临床疗效比较[J].中国现代手术学杂志，2018，22（4）：241- 243.
[6] 陈双，唐健雄.成人腹股沟疝诊断和治疗指南（2018年版）[J].中华消化外科杂志，2018，17（7）：495-498.
[7] Mauro C，Maria EC，Giacomo L，et al. Variables Associated with Endometriosis-related Pain：A Pilot Study using a Visual Analogue Scale [J]. Rev Bras Ginecol Obstet，2019，41（3）：170-175.
[8] Patel VH，Wright AS. Controversies in Inguinal Hernia [J]. Surg Clin North Am，2021，101（6）：1067-1079.
[9] 柳晓咏.TAPP与TEP治疗单侧腹股沟疝患者的随机对照[J].药品评价，2019，16（18）：18-19.
[10] Shakil A，Aparicio K，Barta E，et al. Inguinal Hernias：Diagnosis and Management [J]. Am Fam Physician，2020，102（8）：487-492.
[11] 胥钱平，徐国宏.腹腔镜完全腹膜外与经腹腹膜前疝修补术临床对照分析[J].医药界，2020，38（20）：45-47.
[12] Aydin M，Fikatas P，Denecke C，et al. Cost analysis of inguinal hernia repair：the influence of clinical and hernia- specific factors [J]. Hernia，2021，25（5）：1129-1135.
[13] 都敏，苗艺译，唐光华，等.TAPP与TEP治疗腹股沟疝的临床对比研究[J].中国继续医学教育，2020，12（14）：148-150.
[14] 陈政.TEP与TAPP术治疗腹股沟疝临床疗效比较[J].临床研究，2021，29（5）：42-44.
[15] Goksoy B，Yilmaz G，Azamat IF，et al. Laparoscopic Inguinal Hernia Repair-TAPP versus TEP：Results of 301 Consecutive Patients [J]. Surg Technol Int，2021，39（18）：191-195.
[16] 管云飞，石洪波，谭云波.TEP与TAPP治疗单侧腹股沟疝临床疗效比较[J].大理大学学报，2021，6（10）：46-48.
[17] Gundogdu E，Guldogan CE，Ozmen MM. Bilateral Inguinal Hernia Repair：Robotic TAPP Versus Laparoscopic TEP [J]. Surg Laparosc Endosc Percutan Tech，2020，31（4）：439- 443.
[18] 何苗，曾心雨，刘杰锋.腹腔镜腹膜前疝修补和全腹膜外疝修补术治疗腹股沟疝的优劣比较[J].中国现代手术学杂志，2020，24（1）：71-75.
[19] Ortenzi M，Williams S，Solanki N，et al. Laparoscopic repair of inguinal hernia：retrospective comparison of TEP and TAPP procedures in a tertiary referral center [J]. Minerva Chir，2020，75（5）：279-285.
[20] 牛斌，仇明洋，李强.改良TEP、TAPP与Rutkow术式治疗腹股沟疝的疗效及安全性分析[J].临床和实验医学杂志，2021，20（10）：1098-1101.
[21] 苟宇峰，张岳，李恒.腹腔镜完全腹膜外疝修补术与经腹腹膜前疝修补术治疗腹股沟疝的临床效观察[J].贵州医药，2021，45（1）：69-70.
[22] 涂春明，董庆申，柳建垒.腹腔镜完全腹膜外疝修补术、腹腔镜经腹膜前疝修补术与开放式无张力疝修补术治疗腹股沟疝的效果比较[J].中国当代医药，2021，28（19）：25-29.
[23] 刘雨辰，朱熠林，陈杰，等.不同腹腔镜腹股沟疝修补术中二氧化碳气腹对酸碱平衡影响随机对照研究[J].中国实用外科杂志，2021，41（4）：415-418.
[24] 王飞.腹腔镜完全腹膜外与经腹腹膜前疝修补术临床对照分析[J].世界复合医学，2018，4（6）：45-47.
[25] 李春雷，王泉兴，翁剑青，等.腹腔镜完全腹膜外疝修补术与腹腔镜经腹膜前疝修补术对单纯性腹股沟疝患者腹股沟疼痛、性功能和生活质量的影响比较[J].中国当代医药，2022，29（12）：62-65.
[26] 冯伟，汪启乐，王盛，等.日间手术延期恢复模式下完全腹膜外与经腹腹膜前疝修补术在老年腹股沟疝中的应用[J].腹腔镜外科杂志，2021，26（6）：426-429.
[27] 王祥东，付笑，刘松.腹腔镜经腹腹膜前疝修补术对成人复发性腹股沟疝的近远期疗效分析[J].河北医学，2022， 28（9）：1534-1537.
[28] 吕承刚，刘良超，王亚东，等.腹腔镜经腹膜前疝修补术与疝环充填式无张力修补术治疗成人腹股沟疝的临床预后对比分析[J].中国医药导报，2021，18（26）：121-124.
[29] 范中宝，沈建芬，柳青峰，等.TEP和TAPP在疝修补术中的临床效果比较[J].中国现代普通外科进展，2021， 24（11）：903-904，921.