Cargando…

Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea

Background and Objectives: Inguinal hernia is a common surgical disease. Traditional open herniorrhaphy has been replaced by laparoscopic herniorrhaphy. Nowadays, many attempts at robotic herniorrhaphy have been reported in western countries, but there have been no reports in South Korea. The purpos...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Yun Suk, Kim, Kyeong Deok, Choi, Moon Suk, Heo, Yoon Seok, Yi, Jin Wook, Choe, Yun-Mee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059805/
https://www.ncbi.nlm.nih.gov/pubmed/36984583
http://dx.doi.org/10.3390/medicina59030582
_version_ 1785016962610364416
author Choi, Yun Suk
Kim, Kyeong Deok
Choi, Moon Suk
Heo, Yoon Seok
Yi, Jin Wook
Choe, Yun-Mee
author_facet Choi, Yun Suk
Kim, Kyeong Deok
Choi, Moon Suk
Heo, Yoon Seok
Yi, Jin Wook
Choe, Yun-Mee
author_sort Choi, Yun Suk
collection PubMed
description Background and Objectives: Inguinal hernia is a common surgical disease. Traditional open herniorrhaphy has been replaced by laparoscopic herniorrhaphy. Nowadays, many attempts at robotic herniorrhaphy have been reported in western countries, but there have been no reports in South Korea. The purpose of this study is to report our initial experience with robotic inguinal hernia surgery, compared to laparoscopic inguinal hernia surgery. Materials and Methods: We analyzed the clinical data from 100 patients who received inguinal hernia surgery in our hospital from November 2020 to June 2022. Fifty patients underwent laparoscopic surgery, and 50 patients underwent robotic surgery using the da Vinci Xi system. All hernia surgeries were performed by a single surgeon using the transabdominal preperitoneal (TAPP) method. Results: The mean operation time and hospital stay were not statistically different. On the first postoperative day, the visual analog scale (VAS) pain score was significantly lower in the robotic surgery group (2.9 ± 0.5 versus 2.5 ± 0.7, p = 0.015). Cumulative sum analysis revealed an approximately 12-case learning curve for robotic-assisted TAPP hernia surgery. Conclusions: Robotic-assisted TAPP inguinal hernia surgery is technically acceptable to surgeons who have performed laparoscopic inguinal hernia surgery, and the learning curve is relatively short. It is thought to be a good step toward learning other robot-assisted operations.
format Online
Article
Text
id pubmed-10059805
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100598052023-03-30 Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea Choi, Yun Suk Kim, Kyeong Deok Choi, Moon Suk Heo, Yoon Seok Yi, Jin Wook Choe, Yun-Mee Medicina (Kaunas) Article Background and Objectives: Inguinal hernia is a common surgical disease. Traditional open herniorrhaphy has been replaced by laparoscopic herniorrhaphy. Nowadays, many attempts at robotic herniorrhaphy have been reported in western countries, but there have been no reports in South Korea. The purpose of this study is to report our initial experience with robotic inguinal hernia surgery, compared to laparoscopic inguinal hernia surgery. Materials and Methods: We analyzed the clinical data from 100 patients who received inguinal hernia surgery in our hospital from November 2020 to June 2022. Fifty patients underwent laparoscopic surgery, and 50 patients underwent robotic surgery using the da Vinci Xi system. All hernia surgeries were performed by a single surgeon using the transabdominal preperitoneal (TAPP) method. Results: The mean operation time and hospital stay were not statistically different. On the first postoperative day, the visual analog scale (VAS) pain score was significantly lower in the robotic surgery group (2.9 ± 0.5 versus 2.5 ± 0.7, p = 0.015). Cumulative sum analysis revealed an approximately 12-case learning curve for robotic-assisted TAPP hernia surgery. Conclusions: Robotic-assisted TAPP inguinal hernia surgery is technically acceptable to surgeons who have performed laparoscopic inguinal hernia surgery, and the learning curve is relatively short. It is thought to be a good step toward learning other robot-assisted operations. MDPI 2023-03-15 /pmc/articles/PMC10059805/ /pubmed/36984583 http://dx.doi.org/10.3390/medicina59030582 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Choi, Yun Suk
Kim, Kyeong Deok
Choi, Moon Suk
Heo, Yoon Seok
Yi, Jin Wook
Choe, Yun-Mee
Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea
title Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea
title_full Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea
title_fullStr Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea
title_full_unstemmed Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea
title_short Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea
title_sort initial experience of robot-assisted transabdominal preperitoneal (tapp) inguinal hernia repair by a single surgeon in south korea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059805/
https://www.ncbi.nlm.nih.gov/pubmed/36984583
http://dx.doi.org/10.3390/medicina59030582
work_keys_str_mv AT choiyunsuk initialexperienceofrobotassistedtransabdominalpreperitonealtappinguinalherniarepairbyasinglesurgeoninsouthkorea
AT kimkyeongdeok initialexperienceofrobotassistedtransabdominalpreperitonealtappinguinalherniarepairbyasinglesurgeoninsouthkorea
AT choimoonsuk initialexperienceofrobotassistedtransabdominalpreperitonealtappinguinalherniarepairbyasinglesurgeoninsouthkorea
AT heoyoonseok initialexperienceofrobotassistedtransabdominalpreperitonealtappinguinalherniarepairbyasinglesurgeoninsouthkorea
AT yijinwook initialexperienceofrobotassistedtransabdominalpreperitonealtappinguinalherniarepairbyasinglesurgeoninsouthkorea
AT choeyunmee initialexperienceofrobotassistedtransabdominalpreperitonealtappinguinalherniarepairbyasinglesurgeoninsouthkorea