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Robotic versus open transversus abdominis release and incisional hernia repair: A case-control study

Laparoscopic, Endoscopic and Robotic Surgery 2020年第3期3卷 59-62页

作者： jenna reeves Shreya Mehta Ramesh Damodaran Prabha Yasser Salama Anubhav Mittal Department of Upper Gastro-Intestinal Tract Surgery Royal North Shore HospitalSt.LeonardsNew South WalesAustralia The University of Sydney Northern Clinical School SydneyNew South WalesAustralia Department of Surgery Mater HospitalPacific Highway GreenwichNew South WalesAustralia

Objective:Transversus abdominus release(TAR)is often required to achieve apposition of the rectus muscles and achieve wide mesh reinforcement of the abdominal ***,TAR has been done with an open technique(oTAR),and the benefits of the newer robotic approach(rTAR)has not been well established in the Australian *** aim of this study was to compare the results of oTAR with rTAR to demonstrate its safety and ***:A retrospective review of patients who underwent rTAR and oTAR at two tertiary hospitals was conducted between January 2018 and January 2020 in New South Wales,*** demographics,perioperative and postoperative outcomes were compared in both ***:There were 26 patients identified to have undergone TAR(13 rTAR,13 oTAR).Both groups were comparable in regards to age,sex and defect *** was associated with a higher American Society of Anaesthesiologist *** was associated with significantly longer average operative time(260.0±78.9 min vs.185.7±64.5 min,p=0.017)but found to have a significantly shorter length of stay(3.6±2.1 d vs.6.9±3.6 d,p=0.007)with a comparable complication ***:rTAR is associated with shorter length of hospital stay with comparable postoperative outcomes when compared to *** are seeing increasing evidence supporting the safety and benefits of robotics,however larger scale studies are required to fully understand this approach.

关键词： Ventral hernia Incisional hernia Transversus abdominis release Robotic hernia repair

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