Hansen Danni Lip, Gram-Hanssen Anders, Fonnes Siv, Rosenberg Jacob
Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospitals, Copenhagen University Hospital, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark.
J Robot Surg. 2023 Apr;17(2):291-301. doi: 10.1007/s11701-022-01440-7. Epub 2022 Jul 5.
Surgical residents routinely participate in open and laparoscopic groin hernia repairs. The increasing popularity of robot-assisted groin hernia repair could lead to an educational loss for residents. We aimed to explore the involvement of surgical specialists and surgical residents, i.e., non-specialists, in robot-assisted groin hernia repair. The scoping review was reported according to PRISMA-ScR guideline. A protocol was uploaded at Open Science Framework, and a systematic search was conducted in four databases: PubMed, EMBASE, Cochrane CENTRAL, and Web of Science. Included studies had to report on robot-assisted groin hernia repairs. Data charting was conducted in duplicate. Of the 67 included studies, 85% of the studies described that the robot-assisted groin hernia repair was performed by a surgical specialist. The rest of the studies had no description of the primary operating surgeon. Only 13% of the included studies reported that a resident attended the robot-assisted groin hernia repair. Thus, robot-assisted groin hernia repair was mainly performed by surgical specialists, and robot-assisted groin hernia repair therefore seems to be underutilized to educate surgical residents.
外科住院医师经常参与开放性和腹腔镜腹股沟疝修补术。机器人辅助腹股沟疝修补术越来越受欢迎，这可能会导致住院医师教育机会的丧失。我们旨在探讨外科专家和外科住院医师（即非专家）参与机器人辅助腹股沟疝修补术的情况。本范围综述按照PRISMA-ScR指南进行报告。研究方案已上传至开放科学框架，并在四个数据库中进行了系统检索：PubMed、EMBASE、Cochrane CENTRAL和科学网。纳入的研究必须报告机器人辅助腹股沟疝修补术的相关情况。数据图表绘制由两人独立完成。在纳入的67项研究中，85%的研究描述机器人辅助腹股沟疝修补术由外科专家进行。其余研究未对主刀医生进行描述。纳入研究中只有13%报告有住院医师参与机器人辅助腹股沟疝修补术。因此，机器人辅助腹股沟疝修补术主要由外科专家进行，机器人辅助腹股沟疝修补术在教育外科住院医师方面的应用似乎未得到充分利用。
