Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study.

IF 2.6 2区医学 Q1 SURGERY Hernia Pub Date : 2024-11-19 DOI:10.1007/s10029-024-03188-5

Kil-Yong Lee, Jaeim Lee, Seong-Taek Oh

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Abstract

Purpose: This study aimed to report the safety and feasibility of single-incision robotic totally extra-peritoneal repair (TEP) with the da Vinci Xi platform.

Methods: We prospectively included patients with unilateral inguinal hernia who underwent elective single-incision robotic TEP between August 10, 2021 and December 12, 2022. The primary outcome was the determination of postoperative complications, and secondary outcomes were quality of life and recurrence rate.

Results: Twenty patients were included in this study. The median age of patients was 60 (interquartile range [IQR], 44.8-62) years, and most were male (90%). Eighteen patients had an indirect hernia. The median total operative time was 70 (IQR, 60.5-82.0) min, the median docking time was 5 (IQR, 3.3-6.0) min, and the median console time was 42 (IQR, 30.3-49.8) min. No postoperative complications occurred within six months postoperatively. We observed an upward trend in quality of life, which was low preoperatively, with improvement noted one month postoperatively. During the six-month follow-up period, there were no cases of recurrence.

Conclusion: For uncomplicated inguinal hernias, single-incision robotic TEP using the da Vinci Xi platform can be selectively and safely attempted.

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使用达芬奇Xi平台对腹股沟疝进行单切口全腹膜外机器人修补术的安全性和可行性：一项单中心前瞻性试验研究。

目的：本研究旨在报告使用达芬奇Xi平台进行单切口腹膜外机器人修补术（TEP）的安全性和可行性：我们前瞻性地纳入了2021年8月10日至2022年12月12日期间接受择期单切口机器人腹膜外全切术（TEP）的单侧腹股沟疝患者。主要结果是确定术后并发症，次要结果是生活质量和复发率：本研究共纳入 20 名患者。患者的中位年龄为 60 岁（四分位数间距 [IQR]，44.8-62），大多数为男性（90%）。18名患者患有间接疝。手术总时间中位数为 70 分钟（IQR，60.5-82.0），对接时间中位数为 5 分钟（IQR，3.3-6.0），控制台时间中位数为 42 分钟（IQR，30.3-49.8）。术后六个月内未发生术后并发症。我们观察到生活质量呈上升趋势，术前生活质量较低，术后一个月有所改善。在六个月的随访期间，无一例复发：结论：对于无并发症的腹股沟疝，可以选择性地、安全地使用达芬奇 Xi 平台进行单切口机器人 TEP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.