單孔與傳統三孔腹腔鏡全腹膜外腹股溝疝修補術之臨床結果對照分析：單一中心回顧性研究

王煥凱、蘇家震

奇美醫學中心外科部泌尿科

Comparison of Clinical Outcomes Between Single-Port and Traditional Three-Port Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair: A Single-Center Retrospective Study

Huan-Kai Wang, Chia-Cheng Su

Divisions of Urology, Department of Surgery, Chi-Mei Medical Center, Tainan, Taiwan

Purpose:

The aim of this study was to conduct a comprehensive comparative analysis regarding the clinical efficacy, perioperative safety, and surgical outcomes of single-incision laparoscopic (SIL) total extraperitoneal (TEP) inguinal hernia repair versus the conventional multi-port (three-port) TEP approach.

Materials and Methods:

  A retrospective cohort study was conducted at Chi-Mei Medical Center, involving 680 patients treated between November 2021 and December 2025. Patients were stratified into SIL-TEP (n=107) and traditional TEP (n=573) groups. Evaluated indicators included operative duration, estimated blood loss, Visual Analogue Scale (VAS) pain scores, analgesic consumption, postoperative complications, and recurrence rates.

Results:

  Operative time for SIL-TEP was significantly longer for both unilateral and bilateral repairs compared to traditional TEP. However, the SIL-TEP group demonstrated superior early recovery, with significantly lower VAS scores on postoperative day one and reduced analgesic requirements. No statistically significant differences were observed regarding intraoperative blood loss, hospital stay duration, overall complication rates, or hernia recurrence during follow-up.

Conclusion:

Although SIL-TEP is technically more demanding and necessitates a longer operative duration due to the complexity of single-port maneuverability, it is a safe and feasible alternative to the traditional three-port TEP procedure. SIL-TEP offers distinct clinical advantages in terms of mitigating early postoperative pain and reducing the systemic burden of analgesic use. While long-term surgical outcomes and recurrence rates are equivalent to the conventional approach, SIL-TEP represents a refined surgical option that enhances immediate postoperative patient comfort without sacrificing safety or efficacy.