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Robotic Single-Port Hernia Surgery

BACKGROUND AND OBJECTIVES: Since the introduction of single-incision laparoscopic surgery in 2009, an increasing number of surgical procedures including hernia repair are being performed using this technique. However, its large-scale adoption awaits results of prospective randomized controlled studi...

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Autor principal: Tran, Hanh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183567/
https://www.ncbi.nlm.nih.gov/pubmed/21985715
http://dx.doi.org/10.4293/108680811X13125733356198
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author Tran, Hanh
author_facet Tran, Hanh
author_sort Tran, Hanh
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description BACKGROUND AND OBJECTIVES: Since the introduction of single-incision laparoscopic surgery in 2009, an increasing number of surgical procedures including hernia repair are being performed using this technique. However, its large-scale adoption awaits results of prospective randomized controlled studies confirming its potential benefits. Parallel with single-port surgery development, the issue of the chronic lack of good camera assistants is being addressed by the robotic Freehand® camera controller, which has the potential to replace camera assistants in a large percentage of routine laparoscopic surgery. Although the robotic Freehand has been used in certain operations in urology and gynecology, there have been no published reports in robotic (single-port) hernia surgery. METHODS: This study reports the first case and a series of 16 patients who underwent robotic single-port total extraperitoneal inguinal hernia repair compared to 16 consecutive cases of conventional single-port inguinal hernia repair. Patients were matched for age, sex, body mass index, American Society of Anesthesiologists classification, and types of hernia. RESULTS: Although operation time was comparable in both, the time wasted for scope cleaning was 8.5 minutes for conventional compared to 1.5 minutes for robotic surgery. CONCLUSION: Robotic single-port inguinal hernia repair is feasible and efficient. This represents a further milestone in laparoscopic surgery.
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spelling pubmed-31835672011-10-25 Robotic Single-Port Hernia Surgery Tran, Hanh JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Since the introduction of single-incision laparoscopic surgery in 2009, an increasing number of surgical procedures including hernia repair are being performed using this technique. However, its large-scale adoption awaits results of prospective randomized controlled studies confirming its potential benefits. Parallel with single-port surgery development, the issue of the chronic lack of good camera assistants is being addressed by the robotic Freehand® camera controller, which has the potential to replace camera assistants in a large percentage of routine laparoscopic surgery. Although the robotic Freehand has been used in certain operations in urology and gynecology, there have been no published reports in robotic (single-port) hernia surgery. METHODS: This study reports the first case and a series of 16 patients who underwent robotic single-port total extraperitoneal inguinal hernia repair compared to 16 consecutive cases of conventional single-port inguinal hernia repair. Patients were matched for age, sex, body mass index, American Society of Anesthesiologists classification, and types of hernia. RESULTS: Although operation time was comparable in both, the time wasted for scope cleaning was 8.5 minutes for conventional compared to 1.5 minutes for robotic surgery. CONCLUSION: Robotic single-port inguinal hernia repair is feasible and efficient. This represents a further milestone in laparoscopic surgery. Society of Laparoendoscopic Surgeons 2011 /pmc/articles/PMC3183567/ /pubmed/21985715 http://dx.doi.org/10.4293/108680811X13125733356198 Text en © 2011 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Tran, Hanh
Robotic Single-Port Hernia Surgery
title Robotic Single-Port Hernia Surgery
title_full Robotic Single-Port Hernia Surgery
title_fullStr Robotic Single-Port Hernia Surgery
title_full_unstemmed Robotic Single-Port Hernia Surgery
title_short Robotic Single-Port Hernia Surgery
title_sort robotic single-port hernia surgery
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183567/
https://www.ncbi.nlm.nih.gov/pubmed/21985715
http://dx.doi.org/10.4293/108680811X13125733356198
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