目标:尽管腹侧疝修补术在全球范围内普遍存在,方法,解剖平面,缺陷闭合,网格的选择和放置层正在进行辩论。我们报道了手术技术的细节,机器人辅助经腹横肌筋膜和腹膜前修补术(R-TATFPP)治疗小腹侧疝的安全性和可行性。
方法:本研究包括2018年至2023年通过机器人辅助腹侧疝修补术进行的22例病例中的5例R-TATFPP修补术,并获得圣卢克国际大学机构审查委员会和圣卢克国际医院临床伦理委员会的批准(19-R147,22-012)。
结果:有4名男性和1名女性,平均年龄64.4±10.0岁,包括两个脐带疝和三个切口疝。平均身高,体重,体重指数(BMI),疝缺损长度,宽度,操作时间,控制台时间,住院时间为171.2±11.8厘米,82.4±13.4kg,28.0±2.1kg/m2,2.8±1.4cm,3.0±1.3cm,180分钟,133.8分钟,2.4天,分别。除一例急性尿潴留外,未观察到任何转换或并发症。
结论:机器人辅助的横肌筋膜和腹膜前修补术对于小腹侧疝是安全可行的,对腹壁结构和结构的破坏最小。
OBJECTIVE: Despite the widespread of ventral hernia repairs globally, the approach method, dissection planes, defect closure, and the choice and placement layer of mesh are an ongoing debate. We reported the details of surgical techniques, safety and feasibility for robot-assisted transabdominal transversalis fascial and preperitoneal repair (R-TATFPP) for small ventral hernia.
METHODS: This study included 5 cases of R-TATFPP repair among 22 cases performed by robot-assisted ventral hernia repair from 2018 to 2023 with the approval of the Institutional Review Board at St. Luke\'s International University and clinical ethical committee at St. Luke\'s International Hospital (19-R147, 22-012).
RESULTS: There were four males and one female, with mean age of 64.4 ± 10.0 years, inclusive of two umbilical and three incisional hernias. Mean height, weight, body mass index (BMI), hernia defect length, width, operation time, console time, and hospital stay were 171.2 ± 11.8 cm, 82.4 ± 13.4 kg, 28.0 ± 2.1 kg/m2, 2.8 ± 1.4 cm, 3.0 ± 1.3 cm, 180 min, 133.8 min, and 2.4 days, respectively. No conversion nor complication was observed except for one acute urinary retention.
CONCLUSIONS: Robot-assisted transversalis fascial and preperitoneal repair was safe and feasible for small ventral hernia with the minimal disruption to the abdominal wall architecture and structures.