Robotic single-port hernia surgery

Hanh Tran, Hanh Tran

Abstract

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.

Figures

Figure 1.
Figure 1.
Simulated robotic Freehand® laparoscopic ventral hernia repair in a swine model.
Figure 2.
Figure 2.
Components of Tri-port™.
Figure 3.
Figure 3.
Patient setup for robotic Freehand® single-port TEP inguinal hernia repair.
Figure 4.
Figure 4.
Basic robotic Freehand® movements: Pan, tilt and zoom.
Figure 5.
Figure 5.
Virtually scarless incisions after robotic Freehand® TEP inguinal hernia repair.

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Source: PubMed

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