Department of General Surgery, William Beaumont Hospital, 3601 W. 13 Mile Rd, Royal Oak, MI, 48073, USA.
Center for Quantitative Sciences Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Hernia. 2021 Dec;25(6):1491-1497. doi: 10.1007/s10029-020-02249-9. Epub 2020 Jun 30.
To examine the hospital length of stay (LOS) and 30 day outcomes of hybrid robotic transversus abdominis release (hrTAR) compared with open transversus abdominis release (oTAR).
Patients receiving hrTAR were selected from the AHSQC database and propensity matched with a contemporary cohort of oTAR patients.
The cohort included 95 hrTAR and 285 oTAR patients. There was a significantly shorter median LOS in the hrTAR cohort (3 vs. 5 days, p < 0.001). The rate of surgical site occurrences in the hrTAR cohort was also lower than for oTAR (5% vs. 15%, p = 0.015). Readmission rates were not different between hrTAR and oTAR (6% vs. 8%, p = 0.65).
hrTAR demonstrates improved LOS compared to oTAR as well as fewer surgical site related occurrences. Further studies are needed to investigate the etiology behind the improved LOS and to confirm appropriate long-term outcomes from hybrid robotic TAR.
比较杂交机器人腹横肌松解术（hrTAR）与开放式腹横肌松解术（oTAR）的住院时间（LOS）和 30 天结果。
从 AHSQC 数据库中选择接受 hrTAR 的患者，并与同期接受 oTAR 的患者进行倾向评分匹配。
该队列包括 95 例 hrTAR 和 285 例 oTAR 患者。hrTAR 组的中位 LOS 明显缩短（3 天 vs. 5 天，p<0.001）。hrTAR 组的手术部位相关并发症发生率也低于 oTAR 组（5% vs. 15%，p=0.015）。hrTAR 和 oTAR 的再入院率无差异（6% vs. 8%，p=0.65）。
与 oTAR 相比，hrTAR 显示出更好的 LOS 和更少的手术部位相关并发症。需要进一步研究以探讨改善 LOS 的病因，并确认杂交机器人 TAR 的适当长期结果。
