关键词: 腹腔镜, 腹股沟疝, 疝修补术, 队列研究

Abstract: ［Abstract］ Objective To investigate clinical efficiency of laparoscopic transabdominal preperitoneal repair （TAPP） and laparoscopic totally extraperitoneal （TEP） in the treatment of inguinal hernia. Methods A total of 138 patients with inguinal hernia performed laparoscopic herniorrhaphy in the Sixth Affliated Hospital of Sun Yat?sen University between January, 2015 and January, 2016 were enrolled into the study, 70 patients treated with TAPP were group A, and 68 cases repaired by TEP were group Baseline data, operative time, blood loss, hospitalization cost, postoperative complications and so on of the two groups were compared. Results The mean cost was 9229.0±72.8 yuan for TAPP group and 8928.4±127.5 yuan for TEP group（t=5.243, P=0.042）, the difference was statistically significant. There were no significant difference in operative time, blood loss, postoperative length of stay and recovery time between TAPP and TEP（t=7.015, 1.742, 1.161, 0.091, P=0.057, 0.084, 0.248, 0.927）. The differences of the complications, inguinal seroma, uroschesis, postoperative pain, scrotal emphysema, intestinal obstruction, were not statistically significant（χ2=0.104, 0.229, 0.079, 0.771, 0.145, P=0.747, 0.633, 0.779, 0.380, 0.703）. There were no showed accidental injury of major vessels or abdominal organs between two groups. After the followup of 2 years, no recurrence and mesh infection were found. Conclusion Both TAPP and TEP for the treatment of inguinal hernia are safe and effective, compared with TAPP, TEP could shorten reduce hospitalization cost. TAPP should be the first choice for beginners or general surgeons. TAPP can lay a foundation for TEP, which is suitable for specialists in hernia surgery.

Key words: laparoscopes, herniorrhaphy, inguinalhernia, cohort study