Comparison Study of Total Extraperitoneal Inguinal Herniorrhaphy with Open and Laparoscopic Technique_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUMing-gao ¹ ,  LIXiang-guo ¹ , GUOBiao ¹ , JIANGYan-yan ²

1. Department of General Surgery, The PLA Navy Anqing Hospital, Anqing 246003, Anhui Province, China;
2. School of Physics and Electronic Engineering of Anqing Normal University, Anqing 246011, Anhui Province, China;

Corresponding author：

LIXiang-guo, Email: horselixiangguo@qq.com

Keywords：

Inguinal hernia; Laparoscope; Total extraperitoneal inguinal herniorrhaphy

DOI：

10.7507/1007-9424.20140340

Video：

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Objective To compare the clinical effect of total extraperitoneal inguinal herniorrhaphy (TEP) with open and laparoscopic technique. Methods The clinical data of 148 patients with inguinal hernia or femoral hernia in this hospital from January 2012 to July 2013 were analyzed retrospectively, in which 74 patients received TEP with open technique (open TEP group), 74 patients received TEP with laparoscopic technique (laparoscopic TEP group). Results All the operations were successfully completed.Compared with the laparoscopic TEP group, the operative time, intra-operative bleeding, and hospitalization expenses were significantly decreased in the open TEP group (P < 0.05).The post-operative exhaust time, postoperative hospital stay, and the postoperative complications rate had no significant differences between the open TEP group and the laparoscopic TEP group (P > 0.05).All the patients were followed up, no recurr-ence occurred during a 3-19 months of following-up. Conclusions TEP with open and laparoscopic technique are both safe and efficient.The open technique has the advantages of shorter operative time, lower cost, so it is worth being widely used for primary hospital.

Citation： HUMing-gao, LIXiang-guo, GUOBiao, JIANGYan-yan. Comparison Study of Total Extraperitoneal Inguinal Herniorrhaphy with Open and Laparoscopic Technique. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1431-1435. doi: 10.7507/1007-9424.20140340 Copy

1.	雷永军.腹外疝的治疗进展(综述)[J].中国城乡企业卫生, 2010, 25(1):44-46.
2.	Gilbert AI.An anatomic and functional classification for the diagnosis and treatment of inguinal hernia[J].Am J Surg, 1989, 157(3):331-333.
3.	Fruchaud H.Surgical treatment of inguinal hernias in adults[J].Bull Med, 1957, 71(10):293.
4.	郭仁宣, 苏东明.腹外疝外科治疗[M].沈阳:辽宁科学技术出版社, 2003:41-44.
5.	陈双, 戎祯祥.腹股沟疝的TEP手术[M].广州:中山大学出版社, 2010:5-6.
6.	严命熔, 林琛, 熊克辉.开放式TEP修补腹股沟疝(附80例报告)[J].中国实用医药, 2011, 6(33):34-35.
7.	王守光, 刘忠诚, 徐建, 等.腹腔镜完全腹膜外疝修补术解剖学标志的应用体会[J].腹腔镜外科杂志, 2013, 18(3):186-188.
8.	郑春宁, 孙少川, 姜永胜, 等.腹腔镜完全腹膜外腹股沟疝修补术的临床体会(附85例报告)[J].腹腔镜外科杂志, 2013, 18(4):305-307.
9.	王建华, 陈翔.开放式和腹腔镜无张力疝修补术的临床分析[J].基层医学论坛, 2010, 14(7):193-195.
10.	Phillips EH, Rosenthal R, Fallas M, et al.Reasons for early recurrence following laparoscopic hernioplasty[J].Surg Endosc, 1995, 9(2):140-145.
11.	Felix EL, Michas CA, Gonzalez MH Jr.Laparoscopic hernioplasty.TAPP vs TEP[J].Surg Endosc, 1995, 9(9):984-989.
12.	Read RC.The preperitoneal approach to the groin and the inferior epigastric vessels[J].Hernia, 2005, 9(1):79-83.
13.	程若川, 刁畅, 张建明, 等.从解剖和力学原理浅谈腹股沟疝修补术理念的演变[J/CD].中华疝和腹壁外科杂志:电子版, 2010, 4(2):177-181.
14.	江浩, 丁锐, 姚琪远, 等.腹股沟区腹膜前解剖和疝修补术[J].中国临床解剖学杂志, 2008, 26(2):209-212.
15.	赵鹏, 校宏兵.腹膜前疝修补术的解剖研究及术式进展[J].解剖与临床, 2008, 13(5):374-376.
16.	陈双.开放式TEP疝修补术[J/CD].中华疝和腹壁外科杂志:电子版, 2010, 4(1):1-3.
17.	周军, 张育超, 赖东明, 等.开放TEP与传统前入路无张力修补腹股沟疝的比较[J/CD].中华疝和腹壁外科杂志:电子版, 2010, 37(2):115-120.
18.	陈双, 陈培生.现代疝外科的新观念[J].岭南现代临床外科, 2003, 3(1):7-8, 11.
19.	段石明, 李向国, 朱化刚.免气囊分离器完全腹膜外腹腔镜腹股沟疝修补术的临床应用[J].现代医学, 2009, 37(1):49-51.
20.	曾辉, 郑本波, 李锋, 等.腹膜前间隙在腹腔镜TAPP及TEP疝修补术中的重要作用(附66例报道)[J].中国普外基础与临床杂志, 2012, 19(9):980-983.
21.	江鸣, 姜友, 汪杰, 等.腹腔镜全腹膜外与经腹腹膜前腹股沟疝修补术的临床对比研究[J].中国普外基础与临床杂志, 2013, 20(12):1391-1395.
22.	王庆涛, 李勇, 周毅, 等.腹腔镜下无钉合腹股沟疝修补术145例体会[J].中国医疗前沿, 2013, 8(5):51-53.
23.	张小兵, 张丽, 唐世龙, 等.开放完全腹膜外腹股沟疝修补术治疗成人腹股沟疝89例临床分析[J].中华实用诊断与治疗杂志, 2013, 27(2):197-199.
24.	刘圣文.开放式与腹腔镜完全腹膜外无张力修补术治疗腹股沟疝的对比研究[J].中国伤残医学, 2013, 21(5):116-117.
25.	刘圣文, 蒋佳福, 李爱国, 等.开放式完全腹膜外腹股沟疝修补术治疗腹股沟疝51例分析[J].吉林医学, 2013, 34(17):3397-3398.

1. 雷永军.腹外疝的治疗进展(综述)[J].中国城乡企业卫生, 2010, 25(1):44-46.
2. Gilbert AI.An anatomic and functional classification for the diagnosis and treatment of inguinal hernia[J].Am J Surg, 1989, 157(3):331-333.
3. Fruchaud H.Surgical treatment of inguinal hernias in adults[J].Bull Med, 1957, 71(10):293.
4. 郭仁宣, 苏东明.腹外疝外科治疗[M].沈阳:辽宁科学技术出版社, 2003:41-44.
5. 陈双, 戎祯祥.腹股沟疝的TEP手术[M].广州:中山大学出版社, 2010:5-6.
6. 严命熔, 林琛, 熊克辉.开放式TEP修补腹股沟疝(附80例报告)[J].中国实用医药, 2011, 6(33):34-35.
7. 王守光, 刘忠诚, 徐建, 等.腹腔镜完全腹膜外疝修补术解剖学标志的应用体会[J].腹腔镜外科杂志, 2013, 18(3):186-188.
8. 郑春宁, 孙少川, 姜永胜, 等.腹腔镜完全腹膜外腹股沟疝修补术的临床体会(附85例报告)[J].腹腔镜外科杂志, 2013, 18(4):305-307.
9. 王建华, 陈翔.开放式和腹腔镜无张力疝修补术的临床分析[J].基层医学论坛, 2010, 14(7):193-195.
10. Phillips EH, Rosenthal R, Fallas M, et al.Reasons for early recurrence following laparoscopic hernioplasty[J].Surg Endosc, 1995, 9(2):140-145.
11. Felix EL, Michas CA, Gonzalez MH Jr.Laparoscopic hernioplasty.TAPP vs TEP[J].Surg Endosc, 1995, 9(9):984-989.
12. Read RC.The preperitoneal approach to the groin and the inferior epigastric vessels[J].Hernia, 2005, 9(1):79-83.
13. 程若川, 刁畅, 张建明, 等.从解剖和力学原理浅谈腹股沟疝修补术理念的演变[J/CD].中华疝和腹壁外科杂志:电子版, 2010, 4(2):177-181.
14. 江浩, 丁锐, 姚琪远, 等.腹股沟区腹膜前解剖和疝修补术[J].中国临床解剖学杂志, 2008, 26(2):209-212.
15. 赵鹏, 校宏兵.腹膜前疝修补术的解剖研究及术式进展[J].解剖与临床, 2008, 13(5):374-376.
16. 陈双.开放式TEP疝修补术[J/CD].中华疝和腹壁外科杂志:电子版, 2010, 4(1):1-3.
17. 周军, 张育超, 赖东明, 等.开放TEP与传统前入路无张力修补腹股沟疝的比较[J/CD].中华疝和腹壁外科杂志:电子版, 2010, 37(2):115-120.
18. 陈双, 陈培生.现代疝外科的新观念[J].岭南现代临床外科, 2003, 3(1):7-8, 11.
19. 段石明, 李向国, 朱化刚.免气囊分离器完全腹膜外腹腔镜腹股沟疝修补术的临床应用[J].现代医学, 2009, 37(1):49-51.
20. 曾辉, 郑本波, 李锋, 等.腹膜前间隙在腹腔镜TAPP及TEP疝修补术中的重要作用(附66例报道)[J].中国普外基础与临床杂志, 2012, 19(9):980-983.
21. 江鸣, 姜友, 汪杰, 等.腹腔镜全腹膜外与经腹腹膜前腹股沟疝修补术的临床对比研究[J].中国普外基础与临床杂志, 2013, 20(12):1391-1395.
22. 王庆涛, 李勇, 周毅, 等.腹腔镜下无钉合腹股沟疝修补术145例体会[J].中国医疗前沿, 2013, 8(5):51-53.
23. 张小兵, 张丽, 唐世龙, 等.开放完全腹膜外腹股沟疝修补术治疗成人腹股沟疝89例临床分析[J].中华实用诊断与治疗杂志, 2013, 27(2):197-199.
24. 刘圣文.开放式与腹腔镜完全腹膜外无张力修补术治疗腹股沟疝的对比研究[J].中国伤残医学, 2013, 21(5):116-117.
25. 刘圣文, 蒋佳福, 李爱国, 等.开放式完全腹膜外腹股沟疝修补术治疗腹股沟疝51例分析[J].吉林医学, 2013, 34(17):3397-3398.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison Study of Total Extraperitoneal Inguinal Herniorrhaphy with Open and Laparoscopic Technique

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