Good Samaritan Medical Center, Tufts University School of Medicine, Brockton, MA, USA.
J Laparoendosc Adv Surg Tech A. 2021 Aug;31(8):926-930. doi: 10.1089/lap.2020.0607. Epub 2020 Oct 5.
This is the first study to investigate clinical outcomes after robotic emergent inguinal hernia repair (rEIHR). Data were retrospectively analyzed from patients who underwent rEIHR from 2013 to 2020. Any patients who underwent concomitant nonabdominal wall procedures were excluded. Complications were assessed with the Clavien-Dindo (CD) and Comprehensive Complication Index (CCI) scoring systems. Out of 616 patients who underwent inguinal herniorrhaphy throughout the study period, 23 rEIHRs were identified among 19 patients. The median Acute Physiology and Chronic Health Evaluation-II score was 6, and the average skin-to-skin time was 75.9 minutes. The average length of stay (LOS) was 1.4 days. During the mean follow-up period of 31.7 months, a total of three complications (CD-grades I, II, and IVa) in two patients were observed. The median CCI score was 0 (max = 43.3). rEIHR is a feasible option for surgeons to utilize, with a short LOS and low complication rate, given the sufficient experience and support as well as the appropriate patient selection.
这是第一项研究机器人急诊腹股沟疝修补术（rEIHR）后的临床结果。对 2013 年至 2020 年接受 rEIHR 的患者进行了回顾性数据分析。排除了同时进行非腹壁手术的任何患者。使用 Clavien-Dindo（CD）和综合并发症指数（CCI）评分系统评估并发症。在整个研究期间接受腹股沟疝修补术的 616 名患者中，19 名患者中有 23 名接受了 rEIHR。急性生理学和慢性健康评估-II 评分中位数为 6，皮肤到皮肤的平均时间为 75.9 分钟。平均住院时间（LOS）为 1.4 天。在平均 31.7 个月的随访期间，两名患者共观察到三种并发症（CD 分级 I、II 和 IVa）。CCI 评分中位数为 0（最大值=43.3）。考虑到足够的经验和支持以及适当的患者选择，rEIHR 是外科医生可行的选择，具有较短的 LOS 和较低的并发症发生率。
