Laparoscopic hernia repair -: TAPP or/and TEP?
Laparoscopic hernia repair -: TAPP or/and TEP?
复制标题
DOI：
10.1007/s00423-004-0532-5
复制
发表时间：
2005-04-01
影响因子：
2.3
通讯作者：
Bittner, R
中科院分区：
文献类型：
--
作者：
Leibl, BJ;Jäger, C;Bittner, R
背景：在各种内镜下疝修补手术中，TAPP 和 TEP 已被选择作为常规使用。方法：分析 Medline 研究结果。结果：两种技术的术后发病风险相似。大型单中心系列的复发率在 0% 至 3.4% 之间。这两种手术都有很多适应症，经腹膜 TAPP 也可以应用于以前腹膜前手术的情况。结论：缺乏比较两种疝气修复方法的随机试验。七项非随机研究显示复发率和发病率没有差异。一般来说，TAPP 修复的学习曲线较短。
Background: Of various endoscopic hernia repair procedures, TAPP and TEP have been selected for routine use. Methods: Results from Medline research were analysed. Results: There is a similar risk for postoperative morbidity for both techniques. The recurrence rate in large single-centre series is between 0% and 3.4%. There were numerous indications for both procedures, whereby a transperitoneal TAPP can also be applied in cases of previous preperitoneal operations. Conclusion: Randomised trials comparing both methods of hernia repair are lacking. Seven non-randomised studies showed no differences in recurrence rate and morbidity. In general the learning curve for is shorter in favour of TAPP repair.