Hybrid robotic-assisted transversus abdominis release versus open transversus abdominis release: a comparison of short-term outcomes

Halka, J. T.; Vasyluk, Andrew; DeMare, Alexander M.; Iacco, Anthony; Janczyk, Randy J.

doi:10.1007/s10029-018-1858-1

Cited by 22 publications

(12 citation statements)

References 11 publications

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“…No heterogeneity was found (I2 = 12.5%, p = 0.63). Similarly, the rate of reoperation, explored by 5 studies [8][9][10][11]13] and 717 patients, was not significantly different between rTAR and oTAR (4% vs 6.5%, OR 0.636, 95% CI 0.29-1.398, p = 0.26) (Fig. 3I).…”

Section: Readmission and Reoperationmentioning

confidence: 76%

“…After the screening of title and abstract and removal of duplicates, 17 articles were selected for further review. After exclusion of 11 articles based on exclusion criteria, 6 studies were included in the meta-analysis [8][9][10][11][12][13].…”

Section: Resultsmentioning

confidence: 99%

“…However, when we evaluated the rate of SSOPI (five studies [8][9][10][11]13] on 717 subjects), no differences were noted between rTAR and oTAR (5 vs 8.9%, OR 0.592, 95% CI 0.293-1.198, p = 0.11) (Fig. 3D).…”

Section: Surgical Site Occurrencementioning

confidence: 96%

“…When we explored the surgical site infection (SSI) rate, we found 5 studies [8][9][10][11][12] on 805 patients reporting such outcome. The cumulative SSI rate was, therefore, 4.7%.…”

Section: Surgical Site Infectionmentioning

confidence: 99%

“…All studies but one [9][10][11][12][13], reported the rate of systemic complications after surgery (451 patients). The overall rate was 20.2%.…”

Section: Systemic Complicationsmentioning

confidence: 99%

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Transversus abdominis release (TAR) for ventral hernia repair: open or robotic? Short-term outcomes from a systematic review with meta-analysis

Bracale

Corcione

Neola

et al. 2021

Hernia

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Purpose To compare early postoperative outcomes after transversus abdominis release (TAR) for ventral hernia repair with open (oTAR) and robotic (rTAR) approach. Methods A systematic search of PubMed/MEDLINE, EMBASE, SCOPUS and Web of Science databases was conducted to identify comparative studies until October 2020. A meta-analysis of postoperative short-term outcomes was performed including complications rate, operative time, length of stay, surgical site infection (SSI), surgical site occurrence (SSO), SSO requiring intervention (SSOPI), systemic complications, readmission, and reoperation rates as measure outcomes. Results Six retrospective studies were included in the analysis with a total of 831 patients who underwent rTAR (n = 237) and oTAR (n = 594). Robotic TAR was associated with lower risk of complications rate (9.3 vs 20.7%, OR 0.358, 95% CI 0.218–0.589, p < 0.001), lower risk of developing SSO (5.3 vs 11.5%, OR 0.669, 95% CI 0.307–1.458, p = 0.02), lower risk of developing systemic complications (6.3 vs 26.5%, OR 0.208, 95% CI 0.100–0.433, p < 0.001), shorter hospital stay (SMD − 4.409, 95% CI − 6.000 to − 2.818, p < 0.001) but longer operative time (SMD 53.115, 95% CI 30.236–75.993, p < 0.01) compared with oTAR. There was no statistically significant difference in terms of SSI, SSOPI, readmission, and reoperation rates. Conclusion Robotic TAR improves recovery by adding the benefits of minimally invasive procedures when compared to open surgery. Although postoperative complications appear to decrease with a robotic approach, further studies are needed to support the real long-term and cost-effective advantages.

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Section: Readmission and Reoperationmentioning

confidence: 76%

Section: Resultsmentioning

confidence: 99%

Section: Surgical Site Occurrencementioning

confidence: 96%

“…When we explored the surgical site infection (SSI) rate, we found 5 studies [8][9][10][11][12] on 805 patients reporting such outcome. The cumulative SSI rate was, therefore, 4.7%.…”

Section: Surgical Site Infectionmentioning

confidence: 99%

“…All studies but one [9][10][11][12][13], reported the rate of systemic complications after surgery (451 patients). The overall rate was 20.2%.…”

Section: Systemic Complicationsmentioning

confidence: 99%

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