Department of Surgery, Moinhos de Vento Hospital, Porto Alegre, Brazil.
Department of Surgery, Montefiore, NY, USA.
J Robot Surg. 2021 Dec;15(6):971-974. doi: 10.1007/s11701-021-01218-3. Epub 2021 Mar 8.
There is still a lot of debate about what is the best technique for ventral hernia (VH) repair surgery. Robotic-assisted procedures are an excellent alternative to overcome the technical difficulties of regular laparoscopic surgery. The onlay technique is one of the most performed surgeries worldwide in open ventral hernia surgery, and the anatomy is easily recognized by all surgeons. Introducing the robotic onlay approach, using robotic-assisted surgery to perform ventral hernia repair with a technique is usual for most surgeons. This "new" approach may change the initial concept that minimally invasive abdominal wall surgery requires specific and tedious training and can help standardize ventral hernia repair by robotic surgery and facilitate training, allowing more surgeons to perform minimally invasive abdominal wall surgery. Finally, clinical studies are needed to measure the impact of Robotot implementation in MIS ventral hernia repair and long-term results.
对于腹疝（VH）修复手术，哪种技术是最佳技术，目前仍存在很多争议。机器人辅助手术是克服常规腹腔镜手术技术难题的绝佳选择。在开放式腹疝手术中，网片修补术是全球应用最广泛的手术之一，所有外科医生都很容易识别其解剖结构。引入机器人网片修补术，使用机器人辅助手术来进行腹疝修补，这对大多数外科医生来说是一种常规技术。这种“新”方法可能会改变微创腹壁手术需要特定且繁琐的培训的最初概念，并有助于通过机器人手术来规范腹疝修补，并促进培训，使更多的外科医生能够进行微创腹壁手术。最后，需要进行临床研究来衡量机器人在微创腹疝修复中的应用对 MIS 的影响和长期结果。
