單孔腹腔鏡與傳統腹腔鏡腹膜外腹股溝疝氣修補手術之比較
方楚文 蘇家震 黃冠華 沈坤宏 廖建華 劉建良 王致丞
奇美醫學中心 外科部 泌尿外科
Laparoendoscopic single-port surgery versus
conventional laparoscopic surgery for totally extra-peritoneal inguinal hernia repair
Chu-Wen Fang, Chia-Cheng Su, Steven K. Huang, Kun-Hung Shen,
Alex Chien-Hwa Liao, Chien Liang Liu, Jhih-Cheng Wang,
Chi Mei Medical Center, Department of Surgery, Division of Urology
Introduction:
The use of laparoscopic surgeries in many surgery field are associated with less surgical trauma and post-operative pain, as well as reduced complications and better cosmetics. However, there were increased morbidity and post-operative pain as the number of ports increased. This is also noticeable in performing conventional laparoscopic hernia repair, which three working ports were often required. Therefore, the pursuit of excellence led to the development of laparoendoscopic single-port hernia repair, which further reduced post-op pain and improve cosmetic outcomes.
Patients and Methods:
From January 2011 to December 2016, we retrospectively collected the patients admitted to our institution and received laparoscopic inguinal hernia repair. The data of patient demographics, operative time, post-op pain , post-operative complications, hospital stay, and rate of recurrence…etc. were collected for analysis.
Results:
A total of 200 patients were enrolled. There was one patient converted to open method inguinal hernia repair because of severe adhesion over preperitoneal space. While 64 patients received inguinal hernia repair via laparoendoscopic single-port totally extra-peritoneal (SPL-TEP) method. Another 136 patients received conventional laparoscopic totally extra-peritoneal inguinal hernia repair (CL-TEP). The recurrence rate was low and found in 1 patients. In addition, there were no significant differences in the postoperative hospital stay, operative time and complication rates between two groups.
Conclusion:
In this single institution experience, SPL-TEP hernia repair seems to be a safe and feasible procedure.