Comparing Robot-Assisted and Laparoscopic Inguinal Hernia Repair: A Systematic Review and Meta-Analysis.

Autor:	Khewater T; Bariatric and Advanced Laparoscopic Surgery, King Salman Armed Forces Hospital, Tabuk, SAU., Al Madshush AM; College of Medicine, University of Tabuk, Tabuk, SAU., Altidlawi MI; Surgery, University of Tabuk, Tabuk, SAU., Faya H; Medicine, Faculty of Medicine, King Khalid University, Abha, SAU., Alanazi M; General Surgery, Faculty of Medicine, University of Tabuk, Tabuk, SAU., Alqahtani MMM; College of Medicine, King Khalid University, Aseer, SAU., Alghamdi IA; College of Medicine, King Khalid University, Abha, SAU., Almotawa MA; College of Medicine, King Khalid University, Abha, SAU., Mirdad MT; College of Medicine, King Khalid University, Abha, SAU., Alqahtani BA; Surgery, King Khalid University, Abha, SAU., Sleem Y; College of Medicine, University of Tabuk, Tabuk, SAU., Mirdad R; Surgery, Armed Forces Hospital, Abha, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 23; Vol. 16 (5), pp. e60959. Date of Electronic Publication: 2024 May 23 (Print Publication: 2024).
DOI:	10.7759/cureus.60959
Abstrakt:	Inguinal hernia repair is a common surgical intervention. Advancements in minimally invasive techniques, specifically laparoscopic (LR) and robot-assisted (RR) approaches, have reshaped the landscape of surgical options. This meta-analysis aimed to systematically assess and compare the effectiveness and safety of laparoscopic and robot-assisted inguinal hernia repair through a comprehensive review of the literature. A systematic search of databases was conducted to identify relevant studies published up to November 30, 2023. Fifteen studies, encompassing a total of 64,568 participants, met the inclusion criteria. Pooled estimates for key outcomes, including duration of operation, overall complications, and surgical site infection (SSI), were calculated using random-effects models. This meta-analysis revealed a statistically significant difference in the duration of surgery, favoring laparoscopic repair over robot-assisted techniques (mean difference: 26.85 minutes, 95% CI (1.16, 52.54)). Overall complications did not significantly differ between the two approaches (odds ratio: 1.54, 95% CI (0.83, 2.85)). However, a significantly greater risk of SSI was identified for robot-assisted procedures (odds ratio: 3.32, 95% CI (2.63, 4.19)). This meta-analysis provides insights into the comparative effectiveness of laparoscopic and robot-assisted inguinal hernia repair. While laparoscopy has shorter operative times and comparable overall complication rates, the increased risk of SSI during robot-assisted procedures necessitates careful consideration in clinical decision-making. Surgeons and healthcare providers should weigh these findings according to patient characteristics, emphasizing a personalized approach to surgical decision-making. The evolving landscape of inguinal hernia repair warrants ongoing research to refine techniques and optimize outcomes for the benefit of patients undergoing these procedures. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Khewater et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu