Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair: A Meta-Analysis

doi:10.1097/SLE.0000000000000123

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	Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair: A Meta-Analysis
	Wei, FX; Zhang, YC; Han, W; Zhang, YL; Shao, Y; Ni, R; Zhang, YC (reprint author), Lanzhou Univ, Hosp 2, Dept Gen Surg, Cuiyingmen 82, Lanzhou 730030, Gansu, Peoples R China.
刊名	SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
	2015-10
卷号	25 期号:5 页码:375-383
关键词	transabdominal preperitoneal repair totally extraperitoneal repair TAPP TEP hernia repair meta-analysis
ISSN号	1530-4515
DOI	10.1097/SLE.0000000000000123
文献子类	Review
英文摘要	Purpose:To perform a meta-analysis of randomized controlled trials (RCTs) comparing transabdominal preperitoneal (TAPP) with totally extraperitoneal (TEP) in regards of hernia recurrence, pain scores, operation time, time to return to usual activities, length of hospital stay, and total complications.Materials and Methods:Online databases including Pubmed, Embase and the Cochrane Library were searched with terms hernia repair, totally extraperitoneal (TEP) repair, and transabdominal preperitoneal (TAPP) repair, as well as the medical subject headings. Relevant RCTs were further analyzed using the methods recommended by the Cochrane Collaboration.Results:A total of 10 RCTs enrolling 1047 patients were included. There was no significant difference in terms of hernia recurrence, pain scores, operation time, time to return to usual activities, hospital stay, total complications, and cost between the 2 groups. Subgroup analysis revealed that pain scores would be affected by many clinical factors, operation time was mainly determined by state and surgeon's experience.Conclusions:On the basis of current evidence, TEP as a modified and more complex laparoscopic procedure than TAPP, did not lead to a significant difference in aspects of clinical outcomes and complications. Therefore, we firstly recommended TAPP for laparoscopic hernia repair, especially for nonexpert surgeons. Further choices would be made according to the specific clinical characteristics of patients and surgeons.
学科主题	Surgery
出版地	PHILADELPHIA
语种	英语
WOS记录号	WOS:000363301400001
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/179399]
专题	第二临床医学院_期刊论文
通讯作者	Zhang, YC (reprint author), Lanzhou Univ, Hosp 2, Dept Gen Surg, Cuiyingmen 82, Lanzhou 730030, Gansu, Peoples R China.
推荐引用方式 GB/T 7714	Wei, FX,Zhang, YC,Han, W,et al. Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair: A Meta-Analysis[J]. SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES,2015,25(5):375-383.
APA	Wei, FX.,Zhang, YC.,Han, W.,Zhang, YL.,Shao, Y.,...&Zhang, YC .(2015).Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair: A Meta-Analysis.SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES,25(5),375-383.
MLA	Wei, FX,et al."Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair: A Meta-Analysis".SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES 25.5(2015):375-383.