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Endoskopische Hernienchirurgie mit reduzierter Portanzahl

  • Davide Lomanto
  • Rajesh Khullar
  • Thomas Carus
  • Sujith Wijerathne

Zusammenfassung

Die endoskopische Hernienchirurgie hat in den letzten Dekaden eine zunehmende Verbreitung gefunden und zeigt sehr gute klinische Ergebnisse. Nachdem sich vor allem die TEP- und TAPP-Technik etabliert haben, werden diese Verfahren auch mit reduzierter Portanzahl durchgeführt. Dadurch soll das chirurgische Trauma weiter reduziert werden, ohne Kompromisse in Bezug auf die Sicherheit einzugehen. In diesem Kapitel werden die technischen Voraussetzungen und die Operationsschritte beschrieben. Es folgt die Darstellung des Stellenwerts dieser modernen Verfahren anhand der aktuellen Literatur.

Literatur

  1. Araujo F, Starling ES, Maricavich M, Tobias-Machado M (2014) Single site and conventional totally extraperitoneal techniques for uncomplicated inguinal hernia repair: a comparative study. J Min Access Surg 10: 197–201CrossRefPubMedPubMedCentralGoogle Scholar
  2. Bittner R, Arregui ME, Bisgaard T, et al (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia [International Endohernia Society (IEHS)]. Surg Endosc 25: 2773–843CrossRefPubMedPubMedCentralGoogle Scholar
  3. Chung SD, Huang CY, Wang SM, Hung SF, Tsai YC, Chueh SC, et al (2011) Laparoendoscopic single-site totally extraperitoneal adult inguinal hernia repair: initial 100 patients. Surg Endosc 25: 3579–83CrossRefPubMedGoogle Scholar
  4. Cugura JF, Kirac I, Kulis T, Sremac M, Ledinsky M, Beslin MB (2012) Comparison of single incision laparoscopic totally extraperitoneal and laparoscopic totally extraperitoneal inguinal hernia repair: initial experience. J Endourol 26: 63–6CrossRefPubMedGoogle Scholar
  5. Fuentes MB, Goel R, Lee-Ong AC, Cabrera EB, Lawenko M, Lopez-Gutierrez J, Lomanto D (2013) Single-port endolaparoscopic surgery (SPES) for totally extraperitoneal inguinal hernia: a critical appraisal of the chopstick repair. Hernia 17 (2): 217–21CrossRefPubMedGoogle Scholar
  6. Goo TT, Goel R, Lawenko M, Lomanto D (2010) Laparoscopic transabdominal preperitoneal (TAPP) hernia repair via a single port. Surg Laparosc Endosc Percutan Tech 20 (6): 389–90CrossRefGoogle Scholar
  7. Kim JH, Lee YS, Kim JJ, Park SM (2013) Single port laparoscopic totally extraperitoneal hernioplasty: a comparative study of short-term outcome with conventional laparoscopic totally extraperitoneal hernioplasty. World J Surg 37 (4): 746–51CrossRefPubMedGoogle Scholar
  8. Langeveld HR, van’t Riet M, Weidema WF, et al (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-trial): a randomized controlled trial. Ann Surg 251 (5): 819–24CrossRefPubMedGoogle Scholar
  9. Lau H, Lee F (2002) A prospective comparative study of needlescopic and conventional endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc 16 (12): 1737–40CrossRefPubMedGoogle Scholar
  10. Liem MS, van Duyn EB, van der Graaf Y, van Vroonhoven TJ (2003) Recurrences after conventional anterior and laparoscopic inguinal hernia repair: a randomized comparison. Ann Surg 237 (1): 136–41CrossRefPubMedPubMedCentralGoogle Scholar
  11. Liu YB, Chen JL, Chao CY, Tsai YC (2015) Clinical evaluation of a novel commercial single port in laparoendoscopic single-site surgery. Urological Science 26: 85–9CrossRefGoogle Scholar
  12. Miserez M, Peeters E, Aufenacker T, et al (2014) Update with level 1 studies of the European Hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18: 151–63CrossRefPubMedGoogle Scholar
  13. O’Reilly EA, Burke JP, O’Connell PR (2012) A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg 255 (5): 846–53Google Scholar
  14. Sato H, Shimada M, Kurita N, et al (2012) The safety and usefulness of the single incision, transabdominal preperitoneal (TAPP) laparoscopic technique for inguinal hernia. J Med Investig 59 (3–4): 235–40CrossRefPubMedGoogle Scholar
  15. Siddiqui MR, Kovzel M, Brennan SJ, Priest OH, Preston SR, Soon Y (2014) The role of the laparoendoscopic single site totally extraperitoneal approach to inguinal hernia repairs: a review and meta-analysis of the literature. Can J Surg 57 (2): 116–26CrossRefPubMedCentralGoogle Scholar
  16. Sinha R, Malhotra V, Sikarwar P (2015) Single incision laparoscopic TAPP with standard laparoscopic instruments and suturing of flaps: a continuing study. J Minim Access Surg 11 (2): 134–8CrossRefPubMedPubMedCentralGoogle Scholar
  17. Tai HC, Lin CD, Chung SD, Chueh SC, Tsai YC, Yang SS (2011) A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair. Surg Endosc 25: 2879–83CrossRefPubMedGoogle Scholar
  18. Tran H, Tran K, Zajkowska M, Lam V, Hawthorne WJ (2015) Single-port onlay mesh repair of recurrent inguinal hernias after failed anterior and laparoscopic repairs. JSLS 19 (1): e2014.00212CrossRefPubMedGoogle Scholar
  19. Tsai YC, Ho CH, Tai HC, Chung SD, Chueh SC (2013) Laparoendoscopic single-site versus conventional laparoscopic total extraperitoneal hernia repair: a prospective randomized clinical trial. Surg Endosc 27 (12): 4684–92CrossRefPubMedGoogle Scholar
  20. Wakasugi M, Masuzawa T, Tei M, et al (2014) Single-incision totally extraperitoneal inguinal hernia repair: our initial 100 cases and comparison with conventional three-port laparoscopic totally extraperitoneal inguinal hernia repair. Surg Today 46 (9): 1039-44Google Scholar
  21. Wijerathne S, Agarwal N, Ramzi A, Liem DH, Tan WN, Lomanto D (2016) Single-port versus conventional laparoscopic total extra-peritoneal inguinal hernia repair: a prospective, randomized, controlled clinical trial. Surg Endosc 30 (4): 1356–63CrossRefPubMedGoogle Scholar
  22. Wijerathne S, Agarwal N, Ramzy A, Lomanto D (2014) A prospective randomized controlled trial to compare single-port endo-laparoscopic surgery versus conventional TEP inguinal hernia repair. Surg Endosc 28 (11): 3053–8CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • Davide Lomanto
    • 1
  • Rajesh Khullar
    • 2
  • Thomas Carus
    • 3
  • Sujith Wijerathne
    • 4
  1. 1.Khoo Teck Puat Advanced Surgery Training Centre (ASTC)National University HospitalSingaporeSingapur
  2. 2.Max Institute of Minimal Access, Metabolic & Bariatric SurgeryMax Super Speciality Hospital, SaketNew DelhiIndien
  3. 3.Klinik für Allgemein-, Visceral- und GefäßchirurgieAsklepios Westklinikum HamburgHamburgDeutschland
  4. 4.Minimally Invasive Surgical Centre; National University of SingaporeYLL School of MedicineSingaporeSingapur

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