Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Henriksen NA;Henriksen NA; Jensen KK; Jensen KK; Muysoms F; Muysoms F
  • Source:
    Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2019 Feb; Vol. 23 (1), pp. 17-27. Date of Electronic Publication: 2018 Dec 06.
  • Publication Type:
    Journal Article; Meta-Analysis; Systematic Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: France NLM ID: 9715168 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1248-9204 (Electronic) Linking ISSN: 12489204 NLM ISO Abbreviation: Hernia Subsets: MEDLINE
    • Publication Information:
      Original Publication: Paris, France : Springer, c1997-
    • Subject Terms:
      Abdominal Wall/*surgery ; Hernia, Ventral/*surgery ; Herniorrhaphy/*methods ; Robotics/*methods; Abdominal Muscles/surgery ; Humans ; Laparoscopy/methods ; Postoperative Complications
    • Abstract:
      Purpose: The number of robot-assisted hernia repairs is increasing, but the potential benefits have not been well described. The aim of this study was to evaluate the available literature reporting on outcomes after robot-assisted hernia repairs.
      Methods: This is a qualitative review and meta-analysis of papers evaluating short-term outcomes after inguinal or ventral robot-assisted hernia repair compared with either open or laparoscopic approach. The primary outcome was postoperative complications and secondary outcomes were duration of surgery, postoperative length of stay and financial costs.
      Results: Fifteen studies were included. Postoperative complications were significantly decreased after robot-assisted inguinal hernia repair compared with open repair. There were no differences in complications between robot-assisted and laparoscopic inguinal hernia repair. For ventral hernia repair, sutured closure of the defect, retromuscular mesh placement and transversus abdominis release is feasible when using the robot. Length of stay was decreased by a mean of 3 days for robot-assisted repairs compared with open approach. There were no differences in postoperative complications and the operative time was significantly longer for robot-assisted ventral hernia repair compared with laparoscopic or open approach.
      Conclusions: For ventral hernias that would normally require an open procedure, a robot-assisted repair may be a good option, as the use of a minimally invasive approach for these procedures decreases length of stay significantly. For inguinal hernias, the benefit of the robot is questionable. Randomized controlled trials and prospective studies are needed.
    • References:
      Surg Endosc. 2017 Mar;31(3):1275-1279. (PMID: 27450207)
      BMC Surg. 2017 May 10;17(1):55. (PMID: 28490321)
      JSLS. 2011 Jan-Mar;15(1):47-52. (PMID: 21902942)
      Surg Endosc. 2018 Apr;32(4):1901-1905. (PMID: 29411133)
      Surg Endosc. 2012 Mar;26(3):598-606. (PMID: 21993935)
      J Robot Surg. 2018 Dec;12(4):625-632. (PMID: 29453731)
      Surg Endosc. 2017 Mar;31(3):1045-1060. (PMID: 27444830)
      Am J Surg. 2017 Dec;214(6):1158-1163. (PMID: 29017732)
      Ann Surg. 2018 Feb;267(2):210-217. (PMID: 28350568)
      J Robot Surg. 2016 Sep;10(3):239-44. (PMID: 27112781)
      Ann Surg. 2018 Feb;267(2):218-219. (PMID: 28632516)
      Surg Endosc. 2018 Feb;32(2):727-734. (PMID: 28730275)
      Surg Endosc. 2018 Apr;32(4):2131-2136. (PMID: 29067575)
      Br J Surg. 2018 Jan;105(1):37-47. (PMID: 29227530)
      Int J Med Robot. 2015 Jun;11(2):120-5. (PMID: 25236697)
      J Am Coll Surg. 2017 Aug;225(2):285-293. (PMID: 28450062)
      Surg Innov. 2016 Apr;23(2):134-41. (PMID: 26603694)
      Br J Surg. 2016 Nov;103(12):1598-1607. (PMID: 27546188)
      World J Surg. 2017 Sep;41(9):2251-2257. (PMID: 28337532)
      Surg Endosc. 2018 Jan;32(1):229-235. (PMID: 28646321)
      JSLS. 2011 Jul-Sep;15(3):309-14. (PMID: 21985715)
      J Robot Surg. 2018 Sep;12(3):523-527. (PMID: 29302848)
      Surg Endosc. 2017 Jan;31(1):324-332. (PMID: 27287903)
      Surg Endosc. 2018 Feb;32(2):840-845. (PMID: 28733746)
      Surg Endosc. 2018 Apr;32(4):1834-1839. (PMID: 29052065)
    • Contributed Indexing:
      Keywords: Cost; Inguinal hernia; Length of stay; Outcome; Postoperative complication; Ventral hernia
    • Publication Date:
      Date Created: 20181208 Date Completed: 20200406 Latest Revision: 20200408
    • Publication Date:
      20250114
    • Accession Number:
      10.1007/s10029-018-1872-3
    • Accession Number:
      30523566