Pirolla Eduardo Henrique, Patriota Gabriel Pavani, Pirolla Fernanda Junqueira Cesar, Ribeiro Felipe Piccarone Gonçalves, Rodrigues Marina Guitton, Ismail Layla Riva, Ruano Raquel Mezzalira
Hospital Sírio-Libanês, São Paulo, SP, Brazil.
Arq Bras Cir Dig. 2018 Dec 6;31(4):e1408. doi: 10.1590/0102-672020180001e1408.
Inguinal hernia is one of the most frequent surgical diseases. Currently, with the advantages of minimally invasive surgery, new questions arise: what will be the best approach for correction of inguinal hernia? Is there real benefit to the robotic approach?
To compile results of the published studies that used the robot-assisted technique in the repair of inguinal hernia, analyzing its limitations, complications and comparing it with those of the pre-existing techniques.
The review was performed from the Medline database with the following descriptors: (inguinal hernia repair OR hernioplasty OR hernia) AND (robot OR robotic OR robotic assisted) being retrieved 391 articles. After verification of the titles and abstracts, we identified eight series of cases congruent with the objectives of this review. Three reviewers participated in the extraction and selection of results.
Comparative studies showed an increase in surgical time in relation to the open and videolaparoscopic approach. The complications present similar rates with the other repair routes.
This technique has been shown to be effective for the correction of inguinal hernia, but the benefits of using robotic surgery are unclear. So, there is a need for randomized studies comparing laparoscopic to robotic repair.
腹股沟疝是最常见的外科疾病之一。目前,随着微创手术的优势,新的问题出现了:腹股沟疝矫正的最佳方法是什么?机器人手术方法是否有真正的益处?
汇编已发表的使用机器人辅助技术修复腹股沟疝的研究结果,分析其局限性、并发症,并与现有技术进行比较。
从Medline数据库进行检索,使用以下描述词:(腹股沟疝修补术或疝成形术或疝)和(机器人或机器人辅助或机器人辅助的),共检索到391篇文章。在核实标题和摘要后,我们确定了与本综述目标相符的8个病例系列。三名评审员参与了结果的提取和选择。
比较研究表明,与开放手术和腹腔镜手术相比,手术时间有所增加。并发症发生率与其他修复途径相似。
该技术已被证明对腹股沟疝的矫正有效,但使用机器人手术的益处尚不清楚。因此,需要进行随机研究比较腹腔镜手术和机器人手术修复。