Yoo Ri Na, Mun Ji Yeon, Cho Hyeon-Min, Kye Bong-Hyeon
Division of Colorectal Surgery, Department of Surgery, The Catholic University of Korea, St. Vincent Hospital, Suwon, Korea.
Ann Surg Treat Res. 2023 Mar;104(3):176-181. doi: 10.4174/astr.2023.104.3.176. Epub 2023 Feb 28.
The robotic platform, an extension of minimally invasive procedures, is distributed nationwide and readily available. However, its application in inguinal hernia repair seems rare in Korea. This report aims to share our initial experience with robotic inguinal hernia repair.
The patients who underwent robotic inguinal hernia repair by 2 different surgeons with different experiences at a single center were retrospectively analyzed. The surgical procedures were performed on all patients using the Da Vinci Xi robotic platform (Intuitive Surgical Inc). Patient demographics, operation variables, and postoperative outcomes were analyzed.
A total of 35 patients underwent robotic inguinal hernia repairs consecutively. The mean age was 55.03 ± 18.20 years. The majority of patients were male. The overall mean operation time was 103.98 ± 47.92 minutes for unilateral hernia surgery and 139.28 ± 46.07 minutes for bilateral surgery. None of the patients experienced intraoperative complications. However, postoperative complications were noticed in 8 patients: 3 with seroma formation, 1 with hematoma, 1 with superficial surgical site infection, and 3 with persistent pain at the operation site.
This report demonstrates an early experience of hernia surgery using the robotic platform. The robotic approach for transabdominal preperitoneal hernia repair was completed without any significant intraoperative or postoperative complications. It may be a viable option as a minimally invasive technique. Cost-effectiveness, optimal procedural steps, and indications for the robotic approach remain to be further investigated.
机器人平台作为微创手术的延伸，已在全国范围内广泛应用且易于获取。然而，在韩国，其在腹股沟疝修补术中的应用似乎并不常见。本报告旨在分享我们在机器人腹股沟疝修补术中的初步经验。
回顾性分析在单一中心由两位经验不同的外科医生进行机器人腹股沟疝修补术的患者。所有患者均使用达芬奇Xi机器人平台（直观外科公司）进行手术。分析患者的人口统计学资料、手术变量和术后结果。
共有35例患者连续接受了机器人腹股沟疝修补术。平均年龄为55.03±18.20岁。大多数患者为男性。单侧疝手术的总体平均手术时间为103.98±47.92分钟，双侧手术为139.28±46.07分钟。所有患者均未发生术中并发症。然而，8例患者出现了术后并发症：3例形成血清肿，1例出现血肿，1例发生浅表手术部位感染，3例手术部位持续疼痛。
本报告展示了使用机器人平台进行疝手术的早期经验。经腹腹膜前疝修补术的机器人手术方法在术中及术后均未出现任何重大并发症。作为一种微创手术技术，它可能是一种可行的选择。机器人手术方法的成本效益、最佳手术步骤和适应证仍有待进一步研究。
