Kosturakis Alyssa K, LaRusso Kathryn E, Carroll Nels D, Nicholl Michael B
Department of Surgery, UT Health San Antonio, San Antonio, TX, USA.
South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX, 78229, USA.
J Robot Surg. 2018 Dec;12(4):699-704. doi: 10.1007/s11701-018-0812-7. Epub 2018 May 3.
The utilization of robotics in general surgery has increased significantly including usage in the Veterans Affairs (VA) system. We implemented a robotic inguinal hernia repair (RIHR) program in our VA hospital and report on initial experience with safety and outcomes. The first 100 consecutive RIHR at a VA hospital were reviewed and compared against the results of contemporaneous open inguinal hernia repair (OIHR). Data were collected for operative characteristics, surgical complications and pain related outcomes. Overall, operative times for OIHR were less than RIHR (83.7 vs. 109.7 min, p < 0.0001); however, there was no difference in operative time for bilateral repairs (121.5 vs. 121.9 min, p = ns). Complication rates were similar between the groups. RIHR patients had less pain at POD 1 than OIHR patients (p = 0.05). RIHR were less likely to have multiple post-op visits for pain than OIHR patients (p = 0.003). RIHR can be implemented in the VA system with acceptable surgical outcomes. RIHR may be associated with less post-operative pain in the early post-operative period.
机器人技术在普通外科手术中的应用显著增加，包括在退伍军人事务部（VA）系统中的使用。我们在我们的VA医院实施了机器人腹股沟疝修补术（RIHR）项目，并报告了关于安全性和手术结果的初步经验。回顾了一家VA医院连续进行的前100例RIHR，并与同期开放性腹股沟疝修补术（OIHR）的结果进行了比较。收集了手术特征、手术并发症和疼痛相关结果的数据。总体而言，OIHR的手术时间短于RIHR（83.7对109.7分钟，p<0.0001）；然而，双侧修补的手术时间没有差异（121.5对121.9分钟，p=无统计学意义）。两组的并发症发生率相似。RIHR患者在术后第1天的疼痛程度低于OIHR患者（p=0.05）。与OIHR患者相比，RIHR患者因疼痛进行多次术后复诊的可能性较小（p=0.003）。RIHR可以在VA系统中实施，手术结果可接受。RIHR可能与术后早期较少的术后疼痛有关。
