Akademik Veri Yönetim Sistemi
42nd Annual European Hernia Society Congress, Barcelona, İspanya, 28 - 29 Mayıs 2020, cilt.24, ss.2, (Özet Bildiri)
Background: Robotic hernia repair with retromuscular mesh placement
can be performed with either a transabdominal or
extraperitoneal trocar access.
Purpose: The aim of this study is to investigate the differences
between these two access techniques while evaluating short-term
outcomes of robotic transabdominal retromuscular (rTA-RM) repair
and robotic totally extraperitoneal retromuscular (rTEP-RM) repair
for ventral hernias.
Methods: Patients who underwent robotic retromuscular repair over a
6-year period were included in the study. A one-to-one propensity
score matching (PSM) analysis was conducted to obtain two balanced
groups. A comparative analysis of perioperative and early postoperative
outcomes (up to 90-days) was performed.
Results: From a total of 589 patients, 214 patients were included for
the PSM analysis. 82 patients were allocated to each study group.
Operative times and the need for adhesiolysis were higher in the rTARM
group. Intraoperative complications occurred more frequently in
patients who underwent rTA-RM repair (p = 0.120; 4.9% in rTA-RM
vs. 0% in rTEP-RM). The rate of major complications during the first
90 days did not differ between groups (p = 0.277; 7.3% vs. 2.4%,
respectively). The proportion of patients with minor perioperative
complications was statistically higher in the rTA-RM group than the
rTEP-RM group (p = 0.003; 30.5% vs. 11%, respectively). The
overall rate of surgical site events was higher in the rTA-RM group
than the rTEP-RM group (p = 0.049; 17.1% vs, 6.1%, respectively).
Conclusion: Our data suggest that rTEP-RM repair was associated
with shorter surgery duration and improved early postoperative outcomes
in comparison with rTA-RM repair.