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Transition from Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair to Robotic Transabdominal Preperitoneal Inguinal Hernia Repair: A Retrospective Review of a Single Surgeon’s Experience

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Abstract

Background

There is a paucity of literature comparing laparoscopic to robotic inguinal hernia repair. We present a single surgeon’s transition from laparoscopic totally extraperitoneal (L-TEP) to robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair and compare outcomes from the two approaches.

Methods

This retrospective review and analysis of prospectively collected data compare outcomes during the transition from L-TEP to R-TAPP inguinal hernia repair by a single surgeon at one institution. Operating times and surgical outcomes and complications are analyzed. All consecutive L-TEP cases from November 2012 to August 2014 and all consecutive R-TAPP cases from March 2013 to October 2015 were included in the analysis.

Results

A total of 157 and 118 patients underwent L-TEP and R-TAPP inguinal hernia repair, respectively. The groups were similar regarding demographics and ASA class. A significantly higher number of complex cases were performed in the R-TAPP group compared to L-TEP group (n = 11 vs. n = 1, p = 0.0001). Mean surgical times were nearly identical (69.12 ± 35.13 min, R-TAPP; 69.05 ± 26.31, L-TEP) as were intraoperative and postoperative complication rates—despite the significantly higher number of complex cases in the R-TAPP group.

Conclusions

This is the largest study in the literature comparing a single surgeon’s experience transitioning from L-TEP to R-TAPP inguinal hernia repair. Results from the R-TAPP cases were similar to those achieved from laparoscopic cases. The robotic platform may have facilitated the execution of complex hernia cases during the proficiency phase.

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Authors and Affiliations

  1. Department of General Surgery, Good Samaritan Medical Center, Tufts University School of Medicine, Boston, MA, USA

    Omar Yusef Kudsi

  2. Department of General Surgery, St. Elizabeth’s Medical Center, Tufts University School of Medicine, Brighton, MA, USA

    Justin C. McCarty, Nivedh Paluvoi & Allan S. Mabardy

Authors
  1. Omar Yusef Kudsi
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  2. Justin C. McCarty
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  3. Nivedh Paluvoi
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  4. Allan S. Mabardy
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Corresponding author

Correspondence to Omar Yusef Kudsi.

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Conflicts of interest

Dr. Kudsi is a proctor and consultant for Intuitive Surgical and a consultant for Bard and Medtronic. Drs. McCarty, Paluvoi, and Mabardy have no conflicts of interest or financial ties to disclose.

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Kudsi, O.Y., McCarty, J.C., Paluvoi, N. et al. Transition from Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair to Robotic Transabdominal Preperitoneal Inguinal Hernia Repair: A Retrospective Review of a Single Surgeon’s Experience. World J Surg 41, 2251–2257 (2017). https://doi.org/10.1007/s00268-017-3998-3

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  • DOI: https://doi.org/10.1007/s00268-017-3998-3

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