Table 2.
Characteristics of studies comparing LESS TEP with LAP TEP
| Characteristic | Sherwinter et al.40 | Tai et al.45 | Cugura et al.22 | |||
|---|---|---|---|---|---|---|
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| LAP TEP | LESS TEP | LAP TEP | LESS TEP | LAP TEP | LESS TEP | |
| No. of patients | 52 | 52 | 22 | 22 | 85 | 54 |
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| Age, yr (range) or yr ± SD | 33.7 ± 11.3 | 37.5 ± 11.9 | 58.5 (17–79) | 55 (20–84) | 56.4 | 46.9 |
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| Surgical technique | Preperitoneal space formed with balloon 1 × 11 mm, 2 × 5 mm ports (through single incision for LESS TEP), mesh fixed | Preperitoneal space formed with balloon 1 × 10 mm, 2 × 5 mm ports (through single incision via glove for LESS TEP), 30° camera and straight or curved instruments, mesh fixed | Preperitoneal space formed with balloon 1 × 10 mm, 2 × 5 mm ports (through single incision for LESS TEP), 0/30° camera and straight instruments, mesh fixed in majority of cases | |||
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| Duration of surgery; n, min ± SD | ||||||
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| Unilateral hernia | n = 39, 48.2 ± 10.8 | n = 43, 51.7 ± 15.1 | n = 19, 40 ± 21.6 | n = 15, 50 ± 14.2 | n = 18, 58.6 ± 23.4 | n = 11, 82.3 ± 39.3 |
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| Bilateral hernias | n = 13, 85.9 ± 8.2 | n = 9, 85.8 ± 16.5 | n = 3, 60 ± 15.3 | n = 7, 60 ± 24.8 | n = 67, 62.6 ± 26.7 | n = 43, 68.3 ± 18.3 |
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| Hospital stay, d ± SD | 0.19 ± 0.07 | 0.19 ± 0.06 | 2.0 ± 1.6 | 2.0 ± 1.3 | 1.7 ± 0.8 | 1.7 ± 1.5 |
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| Intraoperative complications, no. | — | — | 0 | 0 | 0 | 0 |
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| Length of incision(s), cm (range) | — | — | 3.5 (2.5–4.5) | 2 (1.5–2.5) | Umbilical incision: 1.5 cm | Umbilical incision: 1.5 cm |
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| Patient satisfaction, scale: 1–5 ± SD | — | — | — | — | 4.1 ± 0.8 | 3.9 ± 0.7 |
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| Pain, | ||||||
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| 24 hr | — | — | — | — | 3.4 ± 1.7 | 3.6 ± 2.1 |
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| 1 wk | — | — | — | — | 1.57 ± 2.31 | 0.29 ± 0.66 |
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| Return to activity, d ± SD | 11.88 ± 6.07 | 10.94 ± 5.7 | — | — | 3.8 ± 1.2 | 3.4 ± 1.5 |
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| Recurrence, no. | 0 | 0 | 0 | 1 mesh displacement | 0 | 0 |
LAP = laparoscopic; LESS = laparoendoscopic single site; SD = standard deviation; TEP = totally extraperitoneal.