Department of Surgery, Maria Middelares Ghent, Belgium.
Department of Surgery, Maria Middelares Ghent, Belgium.
Cir Esp (Engl Ed). 2021 Nov;99(9):629-634. doi: 10.1016/j.cireng.2021.10.002.
We describe the evolution in hernia repair approaches in our practice during the first 3 years of adopting robotic assisted laparoscopic surgery. For inguinal hernia repair, we began using the robotic platform for complex hernias, and the use of open repair decreased from 17% to 6%. For primary ventral hernias, open procedures decreased from 59% to 10% and for incisional ventral hernias, from 48% to 11%. Moreover, a large shift in mesh position for ventral hernias was seen, with an increase of the retromuscular position from 20% to 82% and a decrease of intraperitoneal mesh position from 48% to 10%. The robotic platform seems to hold a significant potential for complex inguinal hernias, in addition to ventral and incisional hernias which require component separation. A shorter hospital stay and less postoperative complications might make the adoption of the robotic platform for abdominal wall surgery a valuable proposition.
我们描述了在采用机器人辅助腹腔镜手术的头 3 年中我们在疝修补方法上的演变。对于腹股沟疝修补，我们开始使用机器人平台治疗复杂疝，而开放修复的使用率从 17%下降到 6%。对于原发性腹侧疝，开放手术从 59%下降到 10%，对于切口疝，从 48%下降到 11%。此外，腹侧疝的网片位置发生了较大变化，腹横筋膜后位从 20%增加到 82%，而腹腔内置网片的位置从 48%下降到 10%。机器人平台似乎除了需要进行组件分离的腹侧疝和切口疝之外，对于复杂的腹股沟疝也具有很大的潜力。较短的住院时间和较少的术后并发症可能使机器人平台在腹壁手术中的应用成为一个有价值的选择。
