Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, 1-1 Karimata-Yazako, Nagakute, Aichi, 480-1195, Japan.
Surg Today. 2022 Oct;52(10):1395-1404. doi: 10.1007/s00595-021-02413-3. Epub 2021 Dec 3.
With more than 5500 da Vinci Surgical System (DVSS) installed worldwide, the robotic approach for general surgery, including for inguinal hernia repair, is gaining popularity in the USA. However, in many countries outside the USA, robotic surgery is performed at only a few advanced institutions; therefore, its advantages over the open or laparoscopic approaches for inguinal hernia repair are unclear. Several retrospective studies have demonstrated the safety and feasibility of robotic inguinal hernia repair, but there is still no firm evidence to support the superiority of robotic surgery for this procedure or its long-term clinical outcomes. Robotic surgery has the potential to overcome the disadvantages of conventional laparoscopic surgery through appropriate utilization of technological advantages, such as wristed instruments, tremor filtering, and high-resolution 3D images. The potential benefits of robotic inguinal hernia repair are lower rates of complications or recurrence than open and laparoscopic surgery, with less postoperative pain, and a rapid learning curve for surgeons. In this review, we summarize the current status and future prospects of robotic inguinal hernia repair and discuss the issues associated with this procedure.
全球已安装超过 5500 套达芬奇手术系统（DVSS），机器人手术方法，包括腹股沟疝修补术，在美国越来越受欢迎。然而，在美国以外的许多国家，机器人手术仅在少数先进机构进行；因此，其在腹股沟疝修补术方面相对于开放或腹腔镜方法的优势尚不清楚。几项回顾性研究已经证明了机器人腹股沟疝修补术的安全性和可行性，但仍没有确凿的证据支持机器人手术在该手术或其长期临床结果方面的优越性。机器人手术有可能通过适当利用技术优势（如腕式器械、震颤过滤和高分辨率 3D 图像）克服传统腹腔镜手术的缺点。机器人腹股沟疝修补术的潜在益处是与开放和腹腔镜手术相比，并发症或复发率更低，术后疼痛更少，并且外科医生的学习曲线更快。在这篇综述中，我们总结了机器人腹股沟疝修补术的现状和未来前景，并讨论了与该手术相关的问题。
