Department of General Surgery, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Department of General Surgery, Bnai-Zion Medical Center, Haifa, Israel.
Colorectal Dis. 2024 Apr;26(4):609-621. doi: 10.1111/codi.16938. Epub 2024 Mar 8.
The development of robotic assistance has made dissection and suturing in the deep pelvis much easier. The augmented quality of the images and the articulation of the robotic arms have also enabled a more precise dissection. The aim of this study is to present the data on robotic-assisted ventral mesh rectopexy procedures in a university hospital and examine the literature in terms of mesh erosion.
The electronic databases Pubmed, Embase and Cochrane were searched. Studies from January 2004 until January 2023 in the English language were included. Studies which included fewer than 10 patients were excluded. Laparoscopic or robotic-assisted ventral mesh rectopexies were included. Mesh erosion rates following laparoscopic or robotic-assisted ventral mesh rectopexies were measured.
Overall, the systematic review presents 5911 patients from 43 studies who underwent laparoscopic ventral mesh rectopexy compared with 746 patients treated with robotic-assisted ventral mesh rectopexy from six studies and our centre. Mesh erosion was rare in both groups; however, the prevalence was greater in the laparoscopy group (0.90% vs. 0.27%).
The mesh erosion rates are very low with robotic-assisted ventral mesh rectopexy. For precise results, more studies and experience in robotic surgery are required.
机器人辅助技术的发展使得在深部骨盆进行解剖和缝合变得更加容易。图像质量的增强和机器人手臂的灵活性也使得解剖更加精确。本研究旨在介绍在大学医院进行机器人辅助腹侧网片直肠固定术的资料，并根据网片侵蚀的情况检查文献。
检索了 Pubmed、Embase 和 Cochrane 电子数据库。纳入了 2004 年 1 月至 2023 年 1 月期间发表的英语研究。排除了纳入患者少于 10 例的研究。纳入了腹腔镜或机器人辅助腹侧网片直肠固定术。测量了腹腔镜或机器人辅助腹侧网片直肠固定术后网片侵蚀的发生率。
总的来说，系统综述共纳入了 43 项研究的 5911 例患者，这些患者接受了腹腔镜腹侧网片直肠固定术，而 6 项研究和我们中心的 746 例患者接受了机器人辅助腹侧网片直肠固定术。两组的网片侵蚀发生率均较低；然而，腹腔镜组的发生率更高（0.90% vs. 0.27%）。
机器人辅助腹侧网片直肠固定术的网片侵蚀率非常低。为了获得更精确的结果，需要更多的机器人手术经验和研究。
