Arcerito Massimo, Changchien Eric, Bernal Oscar, Konkoly-Thege Adam, Moon John
University of California Riverside, Riverside, California, USA.
Am Surg. 2016 Oct;82(10):1014-1017.
Laparoscopic inguinal hernia repair has been shown to have multiple advantages compared with open repair such as less postoperative pain and earlier resume of daily activities with a comparable recurrence rate. We speculate robotic inguinal hernia repair may yield equivalent benefits, while providing the surgeon added dexterity. One hundred consecutive robotic inguinal hernia repairs with mesh were performed with a mean age of 56 years (25-96). Fifty-six unilateral hernias and 22 bilateral hernias were repaired amongst 62 males and 16 females. Polypropylene mesh was used for reconstruction. All but, two patients were completed robotically. Mean operative time was 52 minutes per hernia repair (45-67). Five patients were admitted overnight based on their advanced age. Regular diet was resumed immediately. Postoperative pain was minimal and regular activity was achieved after an average of four days. One patient recurred after three months in our earlier experience and he was repaired robotically. Mean follow-up time was 12 months. These data, compared with laparoscopic approach, suggest similar recurrence rates and postoperative pain. We believe comparative studies with laparoscopic approach need to be performed to assess the role robotic surgery has in the treatment of inguinal hernia repair.
与开放手术相比，腹腔镜腹股沟疝修补术已显示出多种优势，如术后疼痛较轻、能更早恢复日常活动，且复发率相当。我们推测机器人腹股沟疝修补术可能会产生同等的益处，同时为外科医生提供更高的灵活性。连续进行了100例使用补片的机器人腹股沟疝修补术，平均年龄为56岁（25 - 96岁）。在62名男性和16名女性中，修复了56例单侧疝和22例双侧疝。使用聚丙烯补片进行重建。除两名患者外，所有手术均通过机器人完成。每次疝修补的平均手术时间为52分钟（45 - 67分钟）。5名患者因年龄较大而住院过夜。术后立即恢复正常饮食。术后疼痛轻微，平均4天后即可恢复正常活动。在我们早期的经验中，有1名患者在3个月后复发，随后接受了机器人修复手术。平均随访时间为12个月。与腹腔镜手术方法相比，这些数据表明复发率和术后疼痛相似。我们认为需要进行与腹腔镜手术方法的对比研究，以评估机器人手术在腹股沟疝修补治疗中的作用。
