关键词: 单孔腹腔镜修补, 腹股沟疝修补术 , 腹股沟疝, 全腹膜外

Abstract:

Objective To compare the clinical treatment effect of open and single?incision laparoscopic preperitoneal techniques for inguinal hernia repair. Methods The clinical data of 50 patients with unilateral inguinal hernia treated in our hospital from January 2015 to June 2015 were retrospectively analyzed. Of 50 cases，21 cases underwent single?port laparoscopic total peritoneal inguinal hernia repair（single?port laparoscopic group）and 29 cases of open tension?free hernia repair surgery（open goup）. The clinical outcomes were recorded and compared between two groups，including operation time，intraoperative blood loss，postoperative hospital stay，postoperative complications，24 hours after surgery and chronic pain（more than one month），total hospital costs. Results The operation time，the amount of intraoperative blood loss，postoperative average hospitalization time and 24 hours postoperatively and were significantly lower than those in the open group and the difference （P<0.05）. The total cost of hospitalization was significantly lower than that of SILS?TEP group（P<0.05）. There was no significant difference in chronic pain（more than one month）and postoperative complications between the two groups （P>0.05）. Conclusion Single?hole laparoscopic total intraperitoneal inguinal hernia tension?free repair of patients is superior to the open surgery but higher hospital cost.

Key words: single hole laparoscopic repair, peritoneal, inguinal hernia repair, Inguinal hernia