Inguinal hernia TAPP repair using Senhance® robotic platform: first multicenter report from the TRUST registry

Samalavičius, Narimantas Evaldas; Dulskas, Audrius; Širvys, Artiomas; Klimašauskienė, Vita; Janušonis, Vinsas; Janušonis, Tomas; Eismontas, Vitalijus; Deduchovas, Olegas; Stephan, Dietmar; Darwich, Ibrahim; Poth, Clemens; Schilcher, F.; Slabadzin, Y.V.; Kukharchuk, M.; Willeke, Frank; Staib, Ludger

doi:10.1007/s10029-021-02510-9

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…The reported cases belonged to several specialties: hepatopancreatobiliary surgery [13, 37-39,50-55,78,79,87-97,100-103] (Tables S1 and S2), colorectal surgery [56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][88][89][90][91][93][94][95][96][97][98][104][105][106][107][108][109][110][111] (Tables S1 and S3), abdominal wall surgery [11,12,[47][48][49][87][88][89][90][93]…”

Section: Resultsmentioning

confidence: 99%

“…Among the included studies, 36 were case reports [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ], 52 were noncomparative studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ,…”

Section: Resultsmentioning

confidence: 99%

“…No major issues related to the robotic system were reported, except for five cases with the same robotic system, reported by three different authors, which did not generate consequent serious clinical events [ 48 , 49 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Forty-five (43.7%) authors reported the surgical background of the operating surgeon and his previous experience [ 26 , 31 , 33 , 45 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 62 , 64 , 67 , 69 , 76 , 77 , 79 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 94 , 96 , 99 , 102 , 103 , 104 , 105 , 106 , 108 , 109 , 110 ]. A structured training process of the surgical team on the adopted system was reported by 28 (27.2%) authors [ 26 , 40 , 47 , 48 , 49 , 51 , 52 ...…”

Section: Resultsmentioning

confidence: 99%

“…Forty-five (43.7%) authors reported the surgical background of the operating surgeon and his previous experience [26,31,33,45,[47][48][49][50][51][52][53][54][55][56][57][58][59]62,64,67,69,76,77,79,[83][84][85][86][87][88][89][90][91][92]94,96,99,[102][103][104][105][106][108][109][110]. A structured training process of the surgical team on the adopted system was reported by 28 (27.2%) authors [26,40,[47][48][49]…”

Section: Trainingmentioning

confidence: 99%

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New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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Background and Objectives: Robotic surgery has been widely adopted in general surgery worldwide but access to this technology is still limited to a few hospitals. With the recent introduction of new robotic platforms, several studies reported the feasibility of different surgical procedures. The aim of this systematic review is to highlight the current clinical practice with the new robotic platforms in general surgery. Materials and Methods: A grey literature search was performed on the Internet to identify the available robotic systems. A PRISMA compliant systematic review was conducted for all English articles up to 10 February 2023 searching the following databases: MEDLINE, EMBASE, and Cochrane Library. Clinical outcomes, training process, operating surgeon background, cost-analysis, and specific registries were evaluated. Results: A total of 103 studies were included for qualitative synthesis after the full-text screening. Of the fifteen robotic platforms identified, only seven were adopted in a clinical environment. Out of 4053 patients, 2819 were operated on with a new robotic device. Hepatopancreatobiliary surgery specialty performed the majority of procedures, and the most performed procedure was cholecystectomy. Globally, 109 emergency surgeries were reported. Concerning the training process, only 45 papers reported the background of the operating surgeon, and only 28 papers described the training process on the surgical platform. Only one cost-analysis compared a new robot to the existing reference. Two manufacturers promoted a specific registry to collect clinical outcomes. Conclusions: This systematic review highlights the feasibility of most surgical procedures in general surgery using the new robotic platforms. Adoption of these new devices in general surgery is constantly growing with the extension of regulatory approvals. Standardization of the training process and the assessment of skills’ transferability is still lacking. Further studies are required to better understand the real clinical and economical benefit.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Trainingmentioning

confidence: 99%

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New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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Erkennung von Komplikationen nach Hernienoperationen im Kontext ambulanter Chirurgie

Lehmann

2024

Roboterassistierte Hernienchirurgie

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Robotic minimally invasive inguinal hernia repair with the Dexter robotic system™: A prospective multicenter clinical investigation

Gantner,

Mignot,

Pochhammer

et al. 2024

Surg Endosc

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Background Robot-assisted transabdominal preperitoneal inguinal hernia repair (rTAPP) has been established with various robotic platforms. The Dexter robotic system is an open platform consisting of a sterile surgeon’s console, two robotic instrument arms, and one robotic endoscope arm. This study aimed to confirm the perioperative and early postoperative safety and clinical performance of the Dexter system in patients undergoing primary transperitoneal inguinal hernia repair. Methods The primary objectives of this multicenter study conducted at three centers in France, Germany, and Switzerland were to document the successful completion of rTAPP procedures and the occurrence of serious adverse events (Clavien–Dindo grades III–V), device-related events up to 30 days post-surgery. The procedures were performed by three surgeons with varying levels of experience in robotic systems. Results 50 patients with a median age of 62.5 years (IQR 51.0–72.0) and BMI of 25.1 kg/cm2 (IQR 23.5–28.7), respectively, underwent inguinal hernia repair (33 unilateral, 17 bilateral). All surgeries were successfully completed using three standard laparoscopy trocars. There were no conversions to open surgery, intraoperative complications or device deficiencies. The median skin-to-skin operative time was 50 min (IQR 45–60) for unilateral hernias and 96 min (IQR 84–105) for bilateral hernias. The median console time was 30 min (IQR 26–41) for unilateral and 66 min (IQR 60–77) for bilateral hernias. Twenty-six patients were discharged on the day of surgery, and 22 on postoperative day 1. Conclusion This study confirmed the use of the Dexter system in rTAPP was feasible and safe in multicenter cohorts, with operative times consistent with the literature on other robotic platforms. Our data demonstrated the accessibility of this new robotic approach, even when adopted by surgeons new to robotics. The Dexter system emerged as a valuable device in the hernia repair toolkit for both experienced robotic surgeons and those new to the field.

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Inguinal hernia TAPP repair using Senhance® robotic platform: first multicenter report from the TRUST registry

Cited by 7 publications

References 17 publications

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

Erkennung von Komplikationen nach Hernienoperationen im Kontext ambulanter Chirurgie

Robotic minimally invasive inguinal hernia repair with the Dexter robotic system™: A prospective multicenter clinical investigation

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