Robotic-assisted laparoscopic groin hernia repair: observational case-control study on the operative time during the learning curve

Surgical Endoscopy
Filip MuysomsArchana Ramaswamy

Abstract

Robotic groin hernia repair (r-TAPP) is demonstrating rapid adoption in the US. Barriers in Europe include: low availability of robotic systems to general surgeons, cost of robotic instruments, and the perception of longer operative time. Patients undergoing r-TAPP in our start-up period were prospectively entered in the EuraHS database and compared to laparoscopic TAPP (l-TAPP) performed by the same surgeon within the context of two other prospective studies. Operations were performed with the daVinci Xi robot and the primary endpoint was skin-to-skin operative time. Following proctoring in September 2016 by US surgeons, 50 r-TAPP (34 unilateral and 16 bilateral) procedures have been performed up to January 2017. Mean operative time for unilateral r-TAPP was 54 min, with a decrease from 63 min for the first tertile to 44 min for the third tertile. For unilateral l-TAPP, the mean operative time was 45 min. Mean operative time for bilateral r-TAPP was 78 min, with a decrease from 90 min for the first half to 68 min for the second half. For bilateral l-TAPP, the mean operative time was 61 min. There were no intraoperative complications and no conversions to conventional laparoscopy or open surgery. The operation was performed as ...Continue Reading

Associated Clinical Trials

References

Mar 22, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezM P Simons
Jan 1, 2016·Surgical Endoscopy·Jose E Escobar DominguezAnthony Gonzalez
Apr 27, 2016·Journal of Robotic Surgery·Kimberly E WaitePatrick J Doyle
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Citations

Nov 5, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Chih-Chin YuYao Chou Tsai
Apr 18, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Afag AghayevaBilgi Baca
May 17, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A AiolfiD Bona
Apr 12, 2020·Journal of Robotic Surgery·Bernhard DauserFriedrich Herbst
Jul 28, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D CuccurulloE Tartaglia
Aug 12, 2020·Journal of Robotic Surgery·Marissa C MaasNikolai A Bildzukewicz
Apr 2, 2020·Surgical Endoscopy·Jordan A BilezikianWilliam W Hope
Jan 22, 2021·ANZ Journal of Surgery·Amjad QabbaniMohamed S Elakkad
Dec 9, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Afag AghayevaBilgi Baca
Feb 20, 2021·Cirugía española·Filip MuysomsMaxime Dewulf
Feb 25, 2021·Cirugía española·Filip Muysoms
Mar 28, 2021·Journal of the American College of Surgeons·Linda YeUNKNOWN GLA ESP Team
Apr 17, 2021·Surgical Technology International·Aram RojasRifat Latifi
Apr 29, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T J HolleranF J Brody
Nov 25, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Omar Y KudsiDemetrius Litwin
Jun 2, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Michaela RamserUlrich A Dietz
Jun 30, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Michaela RamserUlrich A Dietz
Dec 22, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Emre GundogduMehmet Mahir Ozmen
Oct 6, 2021·Journal of Robotic Surgery·Leonardo SolainiGiorgio Ercolani
Dec 4, 2021·Surgery Today·Takuya SaitoTsuyoshi Sano

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