Open versus robotic-assisted transabdominal preperitoneal (R-TAPP) inguinal hernia repair: a multicenter matched analysis of clinical outcomes

Gamagami, Reza; Dickens, Eugene; Gonzalez, Anthony; D’Amico, Lawrence; Richardson, Christopher; Rabaza, Jorge; Kolachalam, Ramachandra

doi:10.1007/s10029-018-1769-1

Cited by 41 publications

(20 citation statements)

References 31 publications

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“…17 Of the remaining 22 observational studies, 6 were conference abstracts. 23,26,28,32,33,37 The robotic approach was compared with the open approach in 14 studies (Table 2), [19][20][21][22][23][24][25][26][28][29][30]32,35,36 while the robotic approach was compared with the laparoscopic approach in 18 studies (Table 1). [18][19][20][21][24][25][26][27][28][31][32][33][34][35][36][37][38][39] The majority of the studies were performed within the US, with 2 performed at non-US institutions.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…19,21,23,25,28,34,35,37 Five studies used propensity matching. 20,22,25,29,32 The studies varied in size from 55 to 75,981 patients. Four studies evaluated only unilateral repairs.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of note, 2 studies published by the same group used overlapping patient samples, 22,29 for which 1 study examined the outcomes for the cohort of obese patients only. 29 Therefore, only the study assessing the broader subset of patients is included in our review, 22 however, the data extraction for all included studies and outcomes can be found in the full evidence table (eTables 3e7).…”

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Clinical and Cost Outcomes of Robot-Assisted Inguinal Hernia Repair: A Systematic Review

Tang

Shenoy

et al. 2021

Journal of the American College of Surgeons

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Inguinal hernia repair is one of the most common general surgical procedures, with more than 20 million hernias repaired worldwide annually. 1 While most surgeons use an open approach, there has been a growth in laparoscopic and robotic techniques among unilateral, bilateral, and recurrent hernia repairs. 2,3 Advantages have been lauded, with laparoscopic and robotic repair allowing for superior visualization of bilateral groin anatomy and exploration of both inguinal and femoral spaces. Also, some reports suggest that patients may have less postoperative pain. 4 A recent study found that robotic inguinal hernia repair use increased 41-fold in Michigan (2012 to 2018). 5 Proponents of the robotic platform argue that its magnified 3-dimensional visualization, stable platform, and superior range of motion may translate into better clinical outcomes. 6 The number of robotic inguinal hernia repair procedures continues to rise despite confirmation of the clinical benefits. 7,8 The economic value of robotic surgery is also unclear. Technology acquisition and implementation require substantial upfront investment along with ongoing costs for annual maintenance contracts, instrument purchases, staff and training, infrastructure upgrades, and marketing. 9 The cost benefit in relationship to clinical outcomes associated with the use of robotic technology must be apparent to provider and patient.Two systematic reviews of robotic inguinal hernia repair were published in 2019 but are already dated, as at least 10 additional studies have since been published, including the first randomized controlled trial (RCT). 10,11 We proceeded with this systematic review to provide the most up-to-date assessment of perioperative and long-term clinical outcomes and cost for robotassisted inguinal hernia repair compared with open and laparoscopic approaches. METHODSThis review is part of a larger report commissioned by the Department of Veterans Affairs on the clinical outcomes and cost-effectiveness of robotic procedures for cholecystectomy, inguinal hernia repair, and ventral hernia repair. This systematic review is reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards, 12 and the a priori protocol was registered in PROSPERO: CRD42020156945.

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Section: Study Characteristicsmentioning

confidence: 99%

“…19,21,23,25,28,34,35,37 Five studies used propensity matching. 20,22,25,29,32 The studies varied in size from 55 to 75,981 patients. Four studies evaluated only unilateral repairs.…”

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical and Cost Outcomes of Robot-Assisted Inguinal Hernia Repair: A Systematic Review

Tang

Shenoy

et al. 2021

Journal of the American College of Surgeons

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“…The enhanced visualization, dexterity, precision, and ergonomics offered by the system have led to the expansion of minimally invasive surgery available to patients while improving postoperative outcomes. 6 – 9 Toesca and Sarfati have used a robotically assisted surgical system (da Vinci Xi, Intuitive) to perform robotically assisted NSM (RNSM) and immediate breast reconstruction with implant. 10 – 18 We should note that at this present time, the US Food and Drug Administration (FDA) has not cleared this procedure for use with the da Vinci Surgical System.…”

Section: Introductionmentioning

confidence: 99%

Transumbilical Single-port Robotically Assisted Nipple-sparing Mastectomy: A Cadaveric Study

Sarfati

Toesca

Roulot

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Summary: The authors performed a transumbilical, single-port robotically assisted, nipple-sparing mastectomy on a cadaveric model to assess technical feasibility. Surgeon-controlled, robotic-wristed instrumentation, as well as 3-dimensional high definition (HD) vision allowed the entire dissection to be performed through a single incision placed in the umbilicus. The technique warrants further exploration and development before any application in clinical applied research.

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“…La reparación robótica de la hernia inguinal es la progresión natural de este proceso, utilizando esos mismos principios operativos, pero con avances críticos que cambian tanto la experiencia del paciente como del cirujano. [4][5][6] Para el cirujano, la cirugía robótica permite una vista tridimensional del campo de operación al tiempo que proporciona una muñeca articulada, lo que mejora enormemente la experiencia ergonómica de las tradicionales «pinzas rectas» utilizadas en cirugía laparoscópica. [7][8][9] El objetivo de este trabajo es describir la experiencia de un mismo equipo quirúrgico ejecutando los abordajes transabdominal preperitoneal (TAPP) y Stoppa modificado, ambos asistidos por robot.…”

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Plastia inguinal asistida por robot: reporte de 98 casos realizados en México

García¹,

Adame²,

Nogueda³

et al. 2020

Revista Mexicana De Cirugía Endoscópica

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Describir la experiencia en torno a los abordajes transabdominal preperitoneal (TAPP) y Stoppa modificado, ambos asistidos por robot de un mismo equipo quirúrgico, así como demostrar las ventajas del abordaje robótico. Material y métodos: Se realizó un estudio prospectivo, descriptivo, observacional y longitudinal de pacientes intervenidos quirúrgicamente con las técnicas r-TAPP y r-Stoppa modificados para hernias inguinales unilaterales y bilaterales respectivamente, durante el periodo comprendido entre enero de 2016 y agosto de 2020, en los hospitales Ángeles Pedregal y ABC Santa Fe en la Ciudad de México. Se analizaron las características clínicas, la técnica quirúrgica y su resultado. Resultados: Fueron incluidos 98 pacientes, 35 mujeres (35.71%) y 63 hombres (64.28%). La mediana de edad fue de 52.3 años. El tiempo aproximado de docking fue de 4 minutos. Setenta y tres pacientes presentaron hernia inguinal unilateral (74.48%), se utilizó la técnica r-TAPP, el tiempo quirúrgico medio fue de 46.3 minutos. Veinticinco pacientes presentaron hernia inguinal bilateral (25.51%), se recurrió a la técnica r-Stoppa modificada, el tiempo quirúrgico medio fue de 72.3 minutos. En el seguimiento posoperatorio, la única complicación que se ha presentado es seroma en herida umbilical. Hasta el momento, ningún paciente ha presentado recidiva. Conclusión: La cirugía asistida por robot ha ido cambiando progresivamente dichos procedimientos quirúrgicos. Las técnicas r-TAPP y r-Stoppa modificada son reproducibles, seguras y efectivas a corto plazo para pacientes con hernias inguinales unilaterales y bilaterales. Esta serie, realizada por un solo equipo quirúrgico, es la más grande reportada hasta el momento en México.

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Open versus robotic-assisted transabdominal preperitoneal (R-TAPP) inguinal hernia repair: a multicenter matched analysis of clinical outcomes

Cited by 41 publications

References 31 publications

Clinical and Cost Outcomes of Robot-Assisted Inguinal Hernia Repair: A Systematic Review

Clinical and Cost Outcomes of Robot-Assisted Inguinal Hernia Repair: A Systematic Review

Transumbilical Single-port Robotically Assisted Nipple-sparing Mastectomy: A Cadaveric Study

Plastia inguinal asistida por robot: reporte de 98 casos realizados en México

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