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There were no significant differences between groups regarding age, gender, body mass index, active smoking, and comorbidities. Operative time (SBH 125 vs. ACH 132 min, p = 0.13) and overall 30-day morbidity were similar between groups (SBH 14, 7% vs. ACH 13, 8%, p = 0.82). After a mean follow-up of 30 (10-48) months, the recurrence rate was 1, 4% and 2, 2% in SBH and ACH, respectively (p = 0.53). QoL after surgery improved significantly and similarly in both groups. CONCLUSION Bilateral laparoscopic TAPP in the setting of an asymptoma