Laparoscopic TEP | Laparoscopic TAPP | Robotic TAPP | |
Abdominal entry | Open 12 mm incision to access retrorectus space with balloon dissector | Optical trocar, Veress, or open 12 mm port (Hassan) | Optical trocar, Veress, or open 12 mm port (Hassan) |
Number of ports | 3 | 3 | 3 |
Port size | 2 × 5 mm ports AND 1 × 12 mm port (Balloon port) | 3 × 5 mm ports OR 2 × 5 mm ports AND 1 × 11/12 mm port | 3 x 8 to 12 mm ports |
Port placement | Preperitoneal/pretransversalis fascia (no violation of posterior sheath) Down the lower midline | Intraperitoneal, across the mid abdomen | Intraperitoneal, across the upper abdomen |
Laparoscope | 12 mm, 30 degree | 5 mm, 30 degree | 8 or 12 mm, 30 degree |
Energy device | None or electrocautery | Electrocautery | Electrocautery |
Mesh fixation | None, glue, tacks, or self-fixating mesh | None, glue, tacks, or self-fixating mesh | None, self-fixating mesh, or suture |
Peritoneal closure | None needed | Suture | Suture |
Port closure (and risk of port-site hernia) | Anterior fascia of the 12 mm port site (low risk for hernia because posterior fascia not violated) | 12 mm port site Literature reports 5 to 10% port-site hernia rate at 2 years postoperative[1] | 12 mm site Literature reports 5 to 10% port-site hernia rate at 2 years postoperative[1] |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟