腹股沟疝 TAPP 修补术使用 Senhance 机器人平台：来自 TRUST 注册研究的首次多中心报告。

Inguinal hernia TAPP repair using Senhance robotic platform: first multicenter report from the TRUST registry.

机构信息

Department of Surgery, Klaipeda University Hospital, 41 Liepojos Str, 92288, Klaipeda, Lithuania.

Clinic of Internal, Family Medicine and Oncology, Faculty of Medicine, Vilnius University, 2 Santariskiu Str., 08660, Vilnius, Lithuania.

出版信息

Hernia. 2022 Aug;26(4):1041-1046. doi: 10.1007/s10029-021-02510-9. Epub 2021 Sep 30.

DOI:10.1007/s10029-021-02510-9

PMID:34591213

Abstract

PURPOSE

The purpose of this article was to provide feasibility and safety results of robotic transabdominal preperitoneal inguinal hernia repair (Robotic TAPP).

METHODS

We included 271 cases of robotic inguinal hernia TAPP repair using the Senhance robotic platform from four different centers between March 2017 and March 2020. Key data points were intraoperative and postoperative complication rate, operating time, length of hospital stay, postoperative pain score and time required to get back to a daily routine that were inserted in the TransEnterix European Patient Registry for Robotic assisted Laparoscopic Procedures in Urology, Abdominal Surgery, Thoracic and Gynecologic Surgery (TRUST).

RESULTS

We report 203 cases of unilateral and 68 cases of bilateral inguinal hernia repairs. Mean operative time was 74 ± 35 min (range 32-265 min), postoperative complications occurred in five (1.85%) cases, the intraoperative complication rate was five (1.85%). The average subjective patient-related pain score after the procedure was 3 ± 1.9 (range 1-9), length of hospital stay was 39 ± 28 h (range 4-288 h), and recovery time was 9.65 ± 8 days (range 1-36 days).

CONCLUSION

Robotic inguinal hernia TAPP repair shows inspiring results. It is a safe and doable procedure. However, cost analysis should be performed in future to show the superiority over other techniques.

摘要

目的

本文旨在提供机器人经腹腹膜前腹股沟疝修补术（Robotic TAPP）的可行性和安全性结果。

方法

我们纳入了 2017 年 3 月至 2020 年 3 月期间，来自四个不同中心的 271 例使用 Senhance 机器人平台进行机器人腹股沟疝 TAPP 修复的病例。术中及术后并发症发生率、手术时间、住院时间、术后疼痛评分和恢复日常活动所需时间等关键数据点均被纳入 TransEnterix 欧洲机器人辅助腹腔镜泌尿外科、腹部外科、胸外科和妇科手术患者注册系统（TRUST）。

结果

我们报告了 203 例单侧和 68 例双侧腹股沟疝修补术。平均手术时间为 74 ± 35 分钟（范围 32-265 分钟），术后并发症发生 5 例（1.85%），术中并发症发生率为 5 例（1.85%）。术后患者主观相关疼痛评分平均为 3 ± 1.9（范围 1-9），住院时间为 39 ± 28 小时（范围 4-288 小时），恢复时间为 9.65 ± 8 天（范围 1-36 天）。