Li Hong-Yuan, Ren Lin, Wang Cong-Jian, Chen Cai-Xia, Huang Hao-Tian, Cao Song, Jiang Lin-Han, Yang Xue-Song
Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Health Management Center, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
J Robot Surg. 2025 Jun 17;19(1):302. doi: 10.1007/s11701-025-02437-8.
The objective of this study was to investigate the efficacy of concurrent robotic inguinal hernia repair (RIHR) performed during robotic-assisted radical prostatectomy (RARP), as well as to evaluate its safety and feasibility. By April 2024, we have performed comprehensive searches across multiple major databases globally, such as Embase, PubMed, and Web of Science. Data analysis was performed using Review Manager 5.4 (RevMan 5.4). Our study has been registered with PROSPERO (CRD42024592239). A total of eight cohort studies were included in the analysis. Pooled data demonstrated that concurrent robotic inguinal hernia repair (RIHR) during robot-assisted radical prostatectomy (RARP) required significantly longer operative time compared to controls (MD 30.80 min, 95% CI 2.36-59.25, p = 0.03; I = 100%). Its total complication rate is higher (OR 1.62, 95% CI 1.15-2.27, p = 0.005, I = 0%). Its minor complication rate is higher (OR 1.71, 95% CI 1.02-2.87, p = 0.04, I = 14%). No statistically significant differences were observed in major complications, estimated blood loss, or length of hospital stay. The concurrent performance of robot-assisted inguinal hernia repair (RIHR) during robot-assisted radical prostatectomy (RARP) is generally feasible and safe. However, the included studies demonstrated variable methodological quality with significant heterogeneity. Further high-quality studies are warranted to validate these findings.
本研究的目的是探讨在机器人辅助根治性前列腺切除术（RARP）期间同时进行机器人腹股沟疝修补术（RIHR）的疗效，并评估其安全性和可行性。截至2024年4月，我们在全球多个主要数据库（如Embase、PubMed和Web of Science）进行了全面检索。使用Review Manager 5.4（RevMan 5.4）进行数据分析。我们的研究已在PROSPERO（CRD42024592239）注册。分析共纳入八项队列研究。汇总数据表明，与对照组相比，在机器人辅助根治性前列腺切除术（RARP）期间同时进行机器人腹股沟疝修补术（RIHR）的手术时间显著更长（MD 30.80分钟，95%CI 2.36 - 59.25，p = 0.03；I = 100%）。其总并发症发生率更高（OR 1.62，95%CI 1.15 - 2.27，p = 0.005，I = 0%）。其轻微并发症发生率更高（OR 1.71，95%CI 1.02 - 2.87，p = 0.04，I = 14%）。在严重并发症、估计失血量或住院时间方面未观察到统计学显著差异。在机器人辅助根治性前列腺切除术（RARP）期间同时进行机器人辅助腹股沟疝修补术（RIHR）总体上是可行且安全的。然而，纳入的研究显示方法学质量参差不齐，存在显著异质性。需要进一步的高质量研究来验证这些发现。
