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Incisional hernias after laparoscopic and robotic right colectomy.

M Widmar1, M Keskin1, P Beltran1

  • 1Department of Surgery, Colorectal Service, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|July 30, 2016
PubMed
Summary
This summary is machine-generated.

Incisional hernias occur frequently after minimally invasive right colectomies (RC). Laparoscopic and robotic approaches show similar rates of incisional hernias, highlighting an opportunity to improve patient quality of life.

Keywords:
Incisional herniaLaparoscopic colectomyRobotic colectomy

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Area of Science:

  • Colorectal Surgery
  • Surgical Complications
  • Minimally Invasive Surgery

Background:

  • Incisional hernia (IH) is a significant complication following colectomy, impacting patient quality of life and healthcare resource utilization.
  • The incidence of IH after minimally invasive colectomy is not well-established.
  • Minimally invasive colectomy includes both laparoscopic and robotic approaches.

Purpose of the Study:

  • To determine the incidence of incisional hernias after minimally invasive right colectomies (RC).
  • To compare incisional hernia rates between laparoscopic right colectomy (L-RC) and robotic right colectomy (R-RC).

Main Methods:

  • Retrospective review of patients undergoing minimally invasive RC for colonic neoplasia (2009-2014).
  • Exclusion criteria included prior colectomy or intraperitoneal chemotherapy.
  • Incidence of IH was assessed via clinical examination or CT, with time-to-event analyses performed.

Main Results:

  • 276 patients were analyzed: 207 L-RC and 69 R-RC.
  • Overall IH rates were similar: 17.4% for R-RC and 22.2% for L-RC.
  • Former or current tobacco use was the only significant predictor of IH (HR 3.0, p=0.03).

Conclusions:

  • Minimally invasive colectomy is associated with a high incidence of incisional hernias.
  • Laparoscopic and robotic right colectomies demonstrate comparable rates of incisional hernia formation.
  • Reducing IH incidence is crucial for enhancing patient quality of life and decreasing healthcare costs.