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Robotic inguinal hernia repair: systematic review and meta-analysis
Amjad Qabbani1, Omar M Aboumarzouk1,2,3, Tamer ElBakry1
1Surgical Department, Hamad Medical Corporation, Doha, Qatar.
ANZ Journal of Surgery
|January 21, 2021
Summary
Robotic hernia repair is safe and efficient, but open repair is superior. Robotic surgery shows fewer complications than laparoscopic but has longer operative times. Further trials are needed.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Hernia Repair Techniques
Background:
- Robotic hernia repair (RHR) is a developing surgical technique.
- Comparative data on RHR versus open and laparoscopic methods are limited.
- Systematic review and meta-analysis are needed to evaluate RHR's efficacy and safety.
Purpose of the Study:
- To systematically review and meta-analyze the efficiency and safety of robotic hernia repair.
- To compare robotic hernia repair with open and laparoscopic techniques.
Main Methods:
- A literature review was conducted from 2000 to 2020.
- Included studies reported outcomes for robotic, open, and laparoscopic hernia repairs.
- Meta-analysis used Mantel-Haenszel chi-squares test for continuous data and inverse variance for dichotomous data.
Main Results:
- 19 studies with 8987 patients were analyzed.
- Robotic repair had longer operative times than both open and laparoscopic methods.
- Robotic repair showed fewer complications than laparoscopic but similar complication rates to open repair. Readmission rates were lower for robotic vs. open repair.
Conclusions:
- Robotic hernia repair is safe and efficient with a short learning curve.
- Open repair remains superior to robotic repair.
- Robotic repair has a role in minimally invasive centers, but multicenter trials are needed.
