切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (03) : 325 -330. doi: 10.3877/cma.j.issn.1674-392X.2025.03.015

综述

腹腔镜腹股沟疝修补术研究进展
崔洁1, 刘雨辰2, 王明刚2,()   
  1. 1. 100020 北京,首都医科大学第三临床医学院
    2. 100020 首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2025-02-25 出版日期:2025-06-18
  • 通信作者: 王明刚
  • 基金资助:
    首都卫生发展科研专项(首发2024-2-2038)

The research progress of laparoscopic inguinal hernia repair

Jie Cui1, Yuchen Liu2, Minggang Wang2,()   

  1. 1. Capital Medical University,Third Clinical Medical College,Beijing 100020,China
    2. Department of Hernia and Abdominal Wall Surgery,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China
  • Received:2025-02-25 Published:2025-06-18
  • Corresponding author: Minggang Wang
引用本文:

崔洁, 刘雨辰, 王明刚. 腹腔镜腹股沟疝修补术研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(03): 325-330.

Jie Cui, Yuchen Liu, Minggang Wang. The research progress of laparoscopic inguinal hernia repair[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(03): 325-330.

腹股沟疝是常见的外科疾病,手术为其主要治疗方法。腹腔镜腹股沟疝修补术(LIHR)因其创伤小、恢复快等优势已成为治疗腹股沟疝的主要术式。单孔腹腔镜技术、机器人技术及各类新型补片的开发和应用给LIHR的发展提供了新的可能,本文综述了LIHR的发展历程、当前进展和研究热点,包括完全腹膜外修补术、经腹腔腹膜前修补术、单孔腹腔镜手术等手术方法的研究现状及补片应用的最新进展。

Inguinal hernia is a common surgical condition for which surgery remains the primary treatment modality. Laparoscopic inguinal hernia repair (LIHR) has become a leading surgical approach for treating inguinal hernias due to its advantages, such as minimal invasiveness and rapid recovery. The development and application of single-port laparoscopic techniques, robotic-assisted surgery, and various novel mesh materials have provided new possibilities for the advancement of LIHR. This article comprehensively reviews the historical development, current progress, and research hotspots in LIHR,including the latest research status of surgical methods such as totally extraperitoneal, transabdominal preperitoneal, and single-incision laparoscopic surgery, as well as recent advancements in the application of mesh materials.

[1]
陈双, 唐健雄, 周太成, 等. 腹股沟疝诊疗指南(2024版)[J]. 中国实用外科杂志, 2025, 45(2):121-127.
[2]
唐健雄, 李绍杰, 李绍春. 对我国疝与腹壁外科专业发展的思考[J]. 中华消化外科杂志, 2021, 20(1):98-101.
[3]
唐健雄, 李绍春. 特殊情况腹股沟疝外科治疗现状及展望[J]. 中国实用外科杂志, 2023, 43(6):646-649.
[4]
Hurel R, Bouazzi L, Barbe C, et al. Lichtenstein versus TIPP versus TAPP versus TEP for primary inguinal hernia, a matched propensity score study on the French Club Hernie Registry[J]. Hernia, 2023,27(5):1165-1177.
[5]
Shah MY, Raut P, Wilkinson TRV, et al. Surgical outcomes of laparoscopic total extraperitoneal(TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair:A prospective randomized study[J]. Medicine(Baltimore),2022, 101(26):e29746.
[6]
Ger R, Monroe K, Duvivier R, et al. Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac[J]. Am J Surg,1990, 159(4):370-373.
[7]
Ger R, Mishrick A, Hurwitz J, et al. Management of groin hernias by laparoscopy[J]. World J Surg, 1993, 17(1):46-50.
[8]
Hendrickse CW, Evans DS. Intestinal obstruction following laparoscopic inguinal hernia repair[J]. Br J Surg, 1993, 80(11):1432.
[9]
Arregui ME, Navarrete J, Davis CJ, et al. Laparoscopic inguinal herniorrhaphy. Techniques and controversies[J]. Surg Clin North Am,1993, 73(3):513-527.
[10]
Maatouk M, Kbir GH, Mabrouk A, et al. Can ventral TAPP achieve favorable outcomes in minimally invasive ventral hernia repair? A systematic review and meta-analysis[J]. Hernia, 2023, 27(4):729-739.
[11]
李健文, 郑民华, 臧潞, 等. 腹腔镜腹股沟疝修补术后复发与并发症分析[J]. 外科理论与实践, 2002, 7(6):431-433.
[12]
唐健雄, 李绍春. 从我国疝和腹壁外科的历史谈今后的发展[J].中国普通外科杂志, 2023, 32(10):1445-1452.
[13]
Stabilini C, van Veenendaal N, Aasvang E, et al. Update of the international HerniaSurge guidelines for groin hernia management[J].BJS Open, 2023, 7(5):zrad080.
[14]
Balch JA, Neal D, Crippen C, et al. Safety of laparoscopic inguinal hernia repair in the setting of antithrombotic therapy[J]. Surg Endosc,2022, 36(12):9011-9018.
[15]
Andresen K, Rosenberg J. Transabdominal pre-peritoneal(TAPP)versus totally extraperitoneal(TEP) laparoscopic techniques for inguinal hernia repair[J]. Cochrane Database Syst Rev, 2024, 7(7):Cd004703.
[16]
Cao C, Shi X, Jin W, et al. Clinical Data Analysis for Treatment of Adult Inguinal Hernia by TAPP or TEP[J]. Front Surg, 2022, 9:900843.
[17]
HerniaSurge Group. International guidelines for groin hernia management[J]. Hernia, 2018, 22(1):1-165.
[18]
李健文, 李航宇, 王明刚, 等. 腹腔镜腹股沟疝手术焦点问题中国专家共识(1)——术式选择[J]. 中国实用外科杂志, 2023, 43(6):631-645+682.
[19]
Bittner R, Schwarz J. Primary unilateral not complicated inguinal hernia:our choice of TAPP, why, results and review of literature[J].Hernia, 2019, 23(3):417-428.
[20]
Bittner R, Montgomery MA, Arregui E, et al. Update of guidelines on laparoscopic(TAPP) and endoscopic(TEP) treatment of inguinal hernia(International Endohernia Society)[J]. Surg Endosc, 2015,29(2):289-321.
[21]
乐飞, 李健文, 王文瑞, 等. 单中心腹腔镜腹股沟疝修补术4445例[J]. 中华普通外科杂志, 2016, 31(9):724-727.
[22]
Patel V, Gupta T, El-Medani F, et al. Laparoscopic Inguinal Hernia Repair:Transabdominal Preperitoneal or Totally Extraperitoneal?Results of a 14-year Prospective Study[J]. Chirurgia(Bucur), 2020,115(5):600-608.
[23]
Tazaki T, Sasaki M, Kohyama M, et al. Laparoscopic transabdominal preperitoneal repair for recurrent groin hernia after failed anterior-posterior repair[J]. Asian J Endosc Surg, 2021, 14(3):470-477.
[24]
Köckerling F, Schug-Pass C. Diagnostic Laparoscopy as Decision Tool for Re-recurrent Inguinal Hernia Treatment Following Open Anterior and Laparo-Endoscopic Posterior Repair[J]. Front Surg,2017, 4:22.
[25]
Sakamoto K, Tokuhisa A, Nishimura K, et al. Hybrid method with explorative laparoscopy and anterior open approach for re-recurrent inguinal hernia[J]. J Surg Case Rep, 2018, 2018(11):rjy296.
[26]
Tetik C, Arregui ME, Dulucq JL, et al. Complications and recurrences associated with laparoscopic repair of groin hernias. A multi-institutional retrospective analysis[J]. Surg Endosc, 1994,8(11):1316-1322; discussion 22-23.
[27]
Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty[J]. Surg Endosc,1995, 9(2):140-144; discussion 4-5.
[28]
Bittner R, Leibl B, Kraft K, et al.[Laparoscopic hernioplasty(TAPP)--complications and recurrences in 900 operations][J].Zentralbl Chir, 1996, 121(4):313-319.
[29]
Leibl BJ, Schmedt CG, Kraft K, et al. Recurrence after endoscopic transperitoneal hernia repair(TAPP):causes, reparative techniques,and results of the reoperation[J]. J Am Coll Surg, 2000, 190(6):651-655.
[30]
Light D, Bawa S. Trans-fascial closure in laparoscopic ventral hernia repair[J]. Surg Endosc, 2016, 30(12):5228-5231.
[31]
Lee SR, Park SS. The Novel Technique of Transabdominal Preperitoneal Hernioplasty Herniorrhaphy for Direct Inguinal Hernia:Suture Repair of Hernia Defect Wall[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(1):83-88.
[32]
Lee SR, Park PJ. Novel Transabdominal Preperitoneal Hernioplasty Technique for Recurrent Inguinal Hernia:Overlapping of Whole Posterior Wall with Newly Added Mesh and Pre-Existing Mesh by Closing Hernia Defect[J]. J Laparoendosc Adv Surg Tech A, 2018,28(12):1503-1509.
[33]
Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia[J]. Surg Endosc, 2012, 26(4):1187-1189.
[34]
Singh S, Kala S, Jauhari RK, et al. A prospective randomized study of eTEP and TEP repair for inguinal hernia in terms of ease of operability, complication and recurrences[J]. Asian J Med Sci, 2022,13(3):87-94.
[35]
Kshirsagar V, Bendre M, Chavan S, et al. Inguinal Hernia Repair:Comparative Study between TEP versus Extended Totally Extraperitoneal[J]. Ann Afr Med, 2024, 24(1):57-60.
[36]
Srivastava NK, Yadav AS, Sinha R. A Comparative Evaluation of Extended Total Extraperitoneal Repair Versus Standard Total Extraperitoneal Repair and Transabdominal Preperitoneal Repair of Inguinal Hernias[J]. JSLS, 2023, 27(2):e2023. 00004.
[37]
Cugura JF, Kirac I, Kulis T, et al. First case of single incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair[J]. Acta Clin Croat, 2008, 47(4):249-252.
[38]
Chia DKA, Lomanto D, Wijerathne S. Patient-Reported Outcomes and Long-Term Results of a Randomized Controlled Trial Comparing Single-Port Versus Conventional Laparoscopic Inguinal Hernia Repair[J]. World J Surg, 2020, 44(7):2191-2198.
[39]
Wakasugi M, Tei M, Anno K, et al. Single-incision totally extraperitoneal inguinal hernia repair is safe and feasible in elderly patients:A single-center experience of 365 procedures[J]. Asian J Endosc Surg, 2016, 9(4):281-284.
[40]
Wang DC, Fu JW, Jiang T, et al. Meta-analysis of single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair[J]. Updates Surg, 2023, 75(8):2133-2145.
[41]
Rieder E, Martinec DV, Cassera MA, et al. A triangulating operating platform enhances bimanual performance and reduces surgical workload in single-incision laparoscopy[J]. J Am Coll Surg, 2011,212(3):378-384.
[42]
吴卫东, 张一忠, 王廷峰, 等. 单孔腹腔镜腹股沟疝手术规范化操作中国专家共识(2023版)[J]. 中国实用外科杂志, 2023, 43(1):34-47.
[43]
Finley DS, Rodriguez E Jr, Ahlering TE. Combined inguinal hernia repair with prosthetic mesh during transperitoneal robot assisted laparoscopic radical prostatectomy:a 4-year experience[J]. J Urol,2007, 178(4 Pt 1):1296-1299; discussion 9-300.
[44]
Pirolla EH, Patriota GP, Pirolla FJC, et al. Inguinal repair via robotic assisted technique:literature review[J]. Arq Bras Cir Dig, 2018,31(4):e1408.
[45]
Tatarian T, Nie L, McPartland C, et al. Comparative perioperative and 5-year outcomes of robotic and laparoscopic or open inguinal hernia repair:a study of 153, 727 patients in the state of New York[J]. Surg Endosc, 2021, 35(12):7209-7218.
[46]
Aiolfi A, Cavalli M, Micheletto G, et al. Robotic inguinal hernia repair:is technology taking over? Systematic review and meta-analysis[J]. Hernia, 2019, 23(3):509-519.
[47]
de'Angelis N, Schena CA, Moszkowicz D, et al. Robotic surgery for inguinal and ventral hernia repair:a systematic review and meta-analysis[J]. Surg Endosc, 2024, 38(1):24-46.
[48]
Khewater T, Al Madshush AM, Altidlawi MI, et al. Comparing Robot-Assisted and Laparoscopic Inguinal Hernia Repair:A Systematic Review and Meta-Analysis[J]. Cureus, 2024, 16(5):e60959.
[49]
Qabbani A, Aboumarzouk OM, ElBakry T, et al. Robotic inguinal hernia repair:systematic review and meta-analysis[J]. ANZ J Surg,2021, 91(11):2277-2287.
[50]
Prabhu AS, Carbonell A, Hope W, et al. Robotic Inguinal vs Transabdominal Laparoscopic Inguinal Hernia Repair:The RIVAL Randomized Clinical Trial[J]. JAMA Surg, 2020, 155(5):380-387.
[51]
Abdelmoaty WF, Dunst CM, Neighorn C, et al. Robotic-assisted versus laparoscopic unilateral inguinal hernia repair:a comprehensive cost analysis[J]. Surg Endosc, 2019, 33(10):3436-3443.
[52]
Saiding Q, Chen Y, Wang J, et al. Abdominal wall hernia repair:from prosthetic meshes to smart materials[J]. Mater Today Bio, 2023, 21:100691.
[53]
Wise J. Hernia mesh complications may have affected up to 170 000 patients, investigation finds[J]. BMJ, 2018, 362:k4104.
[54]
Knight KM, King GE, Palcsey SL, et al. Mesh deformation:A mechanism underlying polypropylene prolapse mesh complications in vivo[J]. Acta Biomater, 2022, 148:323-335.
[55]
Costa A, Adamo S, Gossetti F, et al. Biological Scaffolds for Abdominal Wall Repair:Future in Clinical Application?[J]. Materials(Basel), 2019, 12(15):2375.
[56]
Xue P, Yue F, Li S, et al. A multicenter randomized controlled trial comparing short- and medium-term outcomes of novel biologics and lightweight synthetic mesh for laparoscopic inguinal hernia repair[J].Hernia, 2024, 28(4):1337-1344.
[57]
Zhang Z, Zhu L, Hu W, et al. Polypropylene mesh combined with electrospun poly(L-lactic acid) membrane in situ releasing sirolimus and its anti-adhesion efficiency in rat hernia repair[J]. Colloids Surf B Biointerfaces, 2022, 218:112772.
[58]
Giuntoli G, Muzio G, Actis C, et al. In-vitro Characterization of a Hernia Mesh Featuring a Nanostructured Coating[J]. Front Bioeng Biotechnol, 2020, 8:589223.
[59]
Dreger NZ, Wandel MB, Robinson LL, et al. Preclinical in Vitro and in Vivo Assessment of Linear and Branched l-Valine-Based Poly(ester urea)s for Soft Tissue Applications[J]. ACS Biomater Sci Eng, 2018, 4(4):1346-1356.
[1] 唐健雄, 李绍杰. 我国腹腔镜疝外科治疗现状、问题与未来[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 355-358.
[2] 田文, 杨晓冬. 我国腹腔镜疝手术治疗难点与对策[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 359-361.
[3] 李涛, 朱含放, 李世拥. 我国腹腔镜疝修补术式选择与原则[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 362-365.
[4] 朱永慧, 桑迪, 张翠翠. 改良后腹膜优先原位LPD对壶腹部周围癌区域淋巴结清扫和并发症的影响研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 372-375.
[5] 张光亚, 方荣喜, 吴鹏, 肖虎. 腹腔镜下不同入肝血流阻断肝切除治疗原发性肝癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 376-379.
[6] 宁国龙, 左伟, 侯强强. 两种不同手术方案治疗Meckel憩室肠重复畸形患儿的回顾性研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 380-383.
[7] 赵军抗, 张前进, 庄惠杰. 不同导向解剖入路腹腔镜根治术治疗早期直肠癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 401-404.
[8] 雷世杰, 胡饶, 彭鸿, 马俊伟, 高石亮, 晏科金. 头侧-中央混合入路腹腔镜根治术治疗右半结肠癌的临床分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 417-420.
[9] 李涛, 朱含放, 李世拥. 腹腔镜下经腹腹膜前右侧腹股沟疝修补术[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 366-366.
[10] 李凯, 母德安, 陈淋, 张志远, 张伟. 超微创钳辅助经脐单孔腹腔镜肝右前叶切除[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 367-367.
[11] 王浩瑜, 杨拴元, 任彦顺, 阴志强. 两种改良食管空肠吻合术的腹腔镜全胃切除术中临床对比研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 425-428.
[12] 林炳涛, 陈君填. 不同病理类型进展期胃癌患者临床特征及腹腔镜辅助根治术后短期预后的影响因素[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 429-433.
[13] 郭任博, 邹本奎, 边家盛. 新辅助联合后入路机器人辅助腹腔镜前列腺根治术在高危前列腺癌中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 540-540.
[14] 刘博皓, 罗云. 腹腔镜下筋膜内前列腺癌根治性切除术[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 542-542.
[15] 魏勇, 李凯, 沈百欣, 林建中, 沈露明, 刘威, 杨昕, 胡海斌, 朱清毅. 完整保留膀胱颈技术在经腹膜外入路单孔腹腔镜下前列腺根治性切除术中的临床疗效[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 447-453.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?