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Robotic-assisted compared with laparoscopic incisional hernia repair following oncologic surgery: short- and long-term outcomes of a randomized controlled trial

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Abstract

Background

Patients with abdominal site cancer are at risk for incisional hernia after open surgery. This study aimed to compare the short- and long-term outcomes of robotic-assisted (RVIHR) with the laparoscopic incisional hernia repair (LVIHR) in an oncologic institute.

Methods

This is a single-blinded randomized controlled pilot trial. Patients were randomized into two groups: RVIHR and LVIHR.

Results

Groups have similar baseline characteristics (LVIHR: N = 19; RVIHR: N = 18). No difference was noted in the length of hospital stay (RVIHR: 3.67 ± 1.78 days; LVIHR: 3.95 ± 2.66 days) and postoperative complications (16.7 versus 10.5%; p = 0.94). The mean operating time for RVIHR was significantly longer than LVIHR (RVIHR was 355.6 versus 293.5 min for LVIHR; p = 0.04). Recurrence was seen in three patients in LVIHR and two in RVIHR at 24-month follow-up, with no significant difference. (p > 0.99).

Conclusion

Laparoscopic and robotic-assisted incisional hernia repair show similar short- and long-term outcomes for cancer patients.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

Patients, physical therapists, nurses, anesthesiologists, residents and staff surgeons of the Cancer Institute of Sao Paulo (ICESP) of the University of Sao Paulo.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Department of Gastroenterology. Digestive Surgery Division, Universidade de São Paulo, Av. Dr. Eneas de Carvalho Aguiar 255, São Paulo, SP, 05403-000, Brazil

    Thiago Nogueira Costa, Ricardo Zugaib Abdalla, Francisco Tustumi, Ulysses Ribeiro Junior & Ivan Cecconello

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  1. Thiago Nogueira Costa
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  2. Ricardo Zugaib Abdalla
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  4. Ulysses Ribeiro Junior
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Contributions

TNC: conceived and designed the analysis; RZA: collected the data; FT: performed the analysis; URJ: wrote the paper; IC: conceived the study design. All authors have read and approved the manuscript.

Corresponding author

Correspondence to Francisco Tustumi.

Ethics declarations

Conflict of interest

Thiago Nogueira Costa, Ricardo Zubaig Abdalla, Francisco Tustumi, Ulysses Ribeiro Junior, Ivan Cecconello declare that they have no conflict of interest.

Ethical approval

The study was approved by the Institution’s Ethical Committee (CAAE: 40789014.3.0000.0065).

Informed consent

All the participants signed a written informed consent form.

Research involving human participants and/or animals

The protocol was registered in a public database (Registro Brasileiro de Ensaios Clínicos, ReBEC; ID: RBR-5s6mnrf).

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Not Applicable.

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Costa, T.N., Abdalla, R.Z., Tustumi, F. et al. Robotic-assisted compared with laparoscopic incisional hernia repair following oncologic surgery: short- and long-term outcomes of a randomized controlled trial. J Robotic Surg 17, 99–107 (2023). https://doi.org/10.1007/s11701-022-01403-y

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