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130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

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Single incision laparoscopic vs. conventional TAPP: a matched pairs analysis

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  • Christof Mittermair - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Jan Schirnhofer - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Eberhard Brunner - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Matthias Biebl - Medizinische Universität Innsbruck, Abteilung für Visceral- , Transplantations- und Thoraxchirurgie, Innsbruck
  • Katharina Pimpl - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Christian Obrist - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Nicholas Waldstein - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Robert Frass - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg
  • Helmut Weiss - Barmherzige Brüder Salzburg, Allgemeinchirurgie, Salzburg

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch777

doi: 10.3205/13dgch777, urn:nbn:de:0183-13dgch7773

Veröffentlicht: 26. April 2013

© 2013 Mittermair et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

Text

Introduction: Single incision laparoscopy (SIL) and other novel techniques are sweeping minimally invasive surgery standards. In laparoscopic hernia repair, the conventional (3-port) TAPP is an established procedure, whereas SIL TAPP lacks of clinical experience. Our aim was to compare these two methods concerning feasibility and outcome.

Material and methods: This study comprises 225 procedures conducted between 2007 and 2011. 75 conventional TAPP(Group1) were matched with 150 SIL TAPP (Group2) concerning age, BMI, type of hernia,morbidity and professional status of the surgeon (senior, fellow, resident). Parameters, such asintraoperative complications, operative time, postoperative pain within 24 hours and 3 days, the appearance of chronic pain and recurrence of hernia were compared.

Results: No major complication occurred in both groups. Operative time was shorter in Group1 (45.9 vs. 56.2 min, p<0,05), postoperative pain was lower in Group2 (24 hours and 3 days). Chronic pain yielded at 5.3% and 4.6% (n.s.) in Group1 and Group2, respectively. Recurrent Hernia were observed in 2 (Group1) and 3 patients (Group2) (2.6% and 2%, n.s.).

Conclusion: SIL TAPP offers a feasible alternative to standard laparoscopic TAPP with an advance in postoperative pain and cosmetics. Downside is a slightly longer operative time.