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Updated: Aug 10, 2026
Application of End-to-end Anastomosis in Robotic Central Pancreatectomy
Published on: June 2, 2018
Robotic extended-view totally extraperitoneal approach for ventral and incisional hernia repair: single-center
Michael W Love1, Alfredo M Carbonell1, Brittany Kothari1
1Prisma Health Upstate Department of Surgery, University of South Carolina School of Medicine Greenville, Greenville, SC, USA.
Introduction:
Robotic extended-view totally extraperitoneal (eTEP) ventral hernia repair has emerged as a preferred approach to minimally invasive abdominal wall reconstruction. Herein, we report outcomes of the largest series of eTEP to date, including greater than 2-year follow-up.
Methods:
We performed a retrospective review of all consecutive patients undergoing robotic eTEP hernia repair at a single institution. Data were collected in the Abdominal Core Health Quality Collaborative (ACHQC) with additional chart review to capture long-term follow-up, operative time, and eTEP approach. Descriptive analysis of patient demographics, operative details, perioperative, and postoperative outcomes are provided, along with Kaplan-Meier analysis for hernia recurrence.
Results:
A total of 380 repairs were performed with a 2 conversions to open repair. Incisional hernias accounted for 94.5% of cases, including 31.8% recurrent defects, with a mean hernia width 7.6 ± 3.8 cm. One-hundred fifteen (30.2%) of cases required additional lateral myofascial release, and fascial closure was achieved in 99.5% of cases. Rate of surgical site infection (SSI) was 1.6%, surgical site occurrence (SSO) was 48.7% (93% of which were seromas), LOS of 1 day, and 2-year rate of hernia recurrence of just 4.4%.
Conclusion:
Robotic eTEP ventral hernia repair exhibits favorable outcomes with a short length of stay, low rate of surgical site infection, and a promisingly low rate of hernia recurrence at 2 years.
