title: Safety and Efficacy of Single-Incision Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: Comparative Study with Conventional Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair.
abstract: BACKGROUND
  Inguinal hernia is a common disease treated with diverse methods. Nowadays, laparoscopic totally extraperitoneal approach is gaining its validity and shows favorable outcomes. However, single-incision laparoscopic surgery is also widening its applicable fields as a new technique. This study aimed to find whether single-incision laparoscopic total extraperitoneal inguinal hernia repair (SILTEP) is applicable compared to conventional laparoscopic total extraperitoneal hernia repair (CLTEP).
  
  
  METHODS
  We retrospectively reviewed 120 cases of SILTEP and 60 cases of CLTEP in Yonsei University Severance Hospital from January 2012 to December 2013. Each group was compared with patients' characteristics, operative details, and postoperative complications.
  
  
  RESULTS
  There were no statistical difference in patient age, sex, body mass index, American Society of Anesthesiologists score, hernia type, or location between SILTEP and CLTEP. In operative details, operation time (61.77 ± 16.48 minutes versus 77.83 ± 35.15 minutes, P = .001) was shorter in SILTEP. Postoperative complication rate has shown no statistical difference in SILTEP compared to CLTEP (n = 20, 16.7% versus n = 16, 26.7%, P = .114).
  
  
  CONCLUSIONS
  SILTEP is feasible and provides comparable postoperative outcomes compared to CLTEP. Although SILTEP has its own challenges for mastering the procedure, with some experiences, it is possible to operate as well as CLTEP.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Yoon Dae
authors.initials: YD
authors.lastname: Han
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Seungwan
authors.initials: S
authors.lastname: Park
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Woo Ram
authors.initials: WR
authors.lastname: Kim
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Se Jin
authors.initials: SJ
authors.lastname: Baek
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Hyuk
authors.initials: H
authors.lastname: Hur
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Byung Soh
authors.initials: BS
authors.lastname: Min
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea.
authors.forename: Nam Kyu
authors.initials: NK
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: single-incision laparoscopic surgery; single-incision laparoscopic totally extraperitoneal inguinal hernia repair; totally extraperitoneal inguinal hernia repair