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KMID : 1033020210110020031
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2021 Volume.11 No. 2 p.31 ~ p.35
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Initial Experience of Robotic TAPP Inguinal Hernia Repair: By a Single Surgeon at a Single Center
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Mun Ji-Yeon
Lee Chi-Woo
Kye Bong-Hyeon
Cho Hyeon-Min
Yoo Ri-Na
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Abstract
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Purpose: The robotic platform as an extension of minimally invasive procedures is distributed nationwide and readily provided. Yet, its application in inguinal hernia repair seems rare. In this report, we aim to share our initial experience of robotic inguinal hernia repair.
Methods: The patients who underwent robotic inguinal hernia repair by a single surgeon at a single center were retrospectively analyzed. The surgical procedures in all patients were conducted using the da Vinci Xi robotic platform. Patient demographics, operation variables, and postoperative outcomes were analyzed.
Results: A total of 12 patients underwent robotic inguinal hernia repair consecutively. The mean age was 58.3±19.5 years. The majority of patients were male. The operation time was 161.8±28.8 min for unilateral inguinal hernia and 173.5±25.2 min for bilateral inguinal hernia. None of the patients experienced intraoperative complications. Two minor postoperative complications were reported ? one with postoperative inguinal pain and the other with umbilical wound seroma.
Conclusion: This report demonstrates an early experience of a single surgeon who was naive to the robotic platform for any operation previously. The robotic approach for transabdominal preperitoneal hernia repair was successfully completed without any intraoperative complication; thus, it may be a viable option as a minimally invasive technique. Cost-effectiveness, optimal procedural steps, and indications for the robotic approach remains to be further investigated.
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KEYWORD
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Robotic surgery, Laparoscopy, Hernia, Inguinal, Groin
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