Introduction and Short-Term Outcomes of Robot-Assisted Transabdominal Preperitoneal Inguinal Hernia Repair at a Municipal Hospital by a Robotic Surgery Novice: A Single-Center, Observational Study
Robot-assisted transabdominal preperitoneal inguinal hernia repair (RTAPP) has been rapidly gaining popularity. However, RTAPP is currently limited to university hospitals and large medical centers and is performed mainly by experts in robotic surgery in Japan. In this study, we report the introduct...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2025-01, Vol.18 (1), p.e13421 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Arai, Hiroto Matsushita, Hidenobu Kawase, Yoshihisa Okochi, Osamu Takeda, Shigeomi Yoshida, Koichi Tanaka, Hideaki Hirayama, Taichi Yamamoto, Hiroyasu Tsuboi, Takuma Noji, Yuta Kimura, Kaito Makinoya, Koji |
| description | Robot-assisted transabdominal preperitoneal inguinal hernia repair (RTAPP) has been rapidly gaining popularity. However, RTAPP is currently limited to university hospitals and large medical centers and is performed mainly by experts in robotic surgery in Japan. In this study, we report the introduction of RTAPP at a municipal hospital by a robotic surgery novice and its short-term outcomes.
We reviewed the data of patients with inguinal hernias who underwent RTAPP performed by a single surgeon between November 2023 and May 2024 and evaluated its safety and short-term outcomes. A comparative study was conducted using laparoscopic transabdominal preperitoneal inguinal hernia repair (LTAPP) performed by the same surgeon.
We identified 13 lesions in 11 patients (unilateral in nine; bilateral in two) in the RTAPP group. The median operative time for unilateral cases was 137 (interquartile range [IQR], 75-200) min, with a console time of 98 (IQR, 40-156) min. The time for dissection, mesh placement, and peritoneal suturing was 67 (IQR, 44-79), 5 (IQR, 5-7), and 11 (IQR, 11-15) min, respectively. To date, no complications or recurrence has been observed in any of these cases. No significant difference in operational time was observed for unilateral cases between the RTAPP and LTAPP groups (137 min vs. 104; p = 0.129).
Our study suggests that RTAPP is safe and feasible, even at a municipal hospital, by a robotic surgery novice. Moreover, RTAPP is comparable to LTAPP in terms of performance. |
| doi_str_mv | 10.1111/ases.13421 |
| format | Article |
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We reviewed the data of patients with inguinal hernias who underwent RTAPP performed by a single surgeon between November 2023 and May 2024 and evaluated its safety and short-term outcomes. A comparative study was conducted using laparoscopic transabdominal preperitoneal inguinal hernia repair (LTAPP) performed by the same surgeon.
We identified 13 lesions in 11 patients (unilateral in nine; bilateral in two) in the RTAPP group. The median operative time for unilateral cases was 137 (interquartile range [IQR], 75-200) min, with a console time of 98 (IQR, 40-156) min. The time for dissection, mesh placement, and peritoneal suturing was 67 (IQR, 44-79), 5 (IQR, 5-7), and 11 (IQR, 11-15) min, respectively. To date, no complications or recurrence has been observed in any of these cases. No significant difference in operational time was observed for unilateral cases between the RTAPP and LTAPP groups (137 min vs. 104; p = 0.129).
Our study suggests that RTAPP is safe and feasible, even at a municipal hospital, by a robotic surgery novice. Moreover, RTAPP is comparable to LTAPP in terms of performance.</description><identifier>ISSN: 1758-5910</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.13421</identifier><identifier>PMID: 39689876</identifier><language>eng</language><publisher>Japan</publisher><subject>Adult ; Aged ; Clinical Competence ; Female ; Hernia, Inguinal - surgery ; Herniorrhaphy - education ; Herniorrhaphy - methods ; Humans ; Japan ; Laparoscopy - education ; Laparoscopy - methods ; Male ; Middle Aged ; Operative Time ; Retrospective Studies ; Robotic Surgical Procedures - education ; Surgical Mesh ; Time Factors ; Treatment Outcome</subject><ispartof>Asian journal of endoscopic surgery, 2025-01, Vol.18 (1), p.e13421</ispartof><rights>2024 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0009-0006-1687-6340</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39689876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arai, Hiroto</creatorcontrib><creatorcontrib>Matsushita, Hidenobu</creatorcontrib><creatorcontrib>Kawase, Yoshihisa</creatorcontrib><creatorcontrib>Okochi, Osamu</creatorcontrib><creatorcontrib>Takeda, Shigeomi</creatorcontrib><creatorcontrib>Yoshida, Koichi</creatorcontrib><creatorcontrib>Tanaka, Hideaki</creatorcontrib><creatorcontrib>Hirayama, Taichi</creatorcontrib><creatorcontrib>Yamamoto, Hiroyasu</creatorcontrib><creatorcontrib>Tsuboi, Takuma</creatorcontrib><creatorcontrib>Noji, Yuta</creatorcontrib><creatorcontrib>Kimura, Kaito</creatorcontrib><creatorcontrib>Makinoya, Koji</creatorcontrib><title>Introduction and Short-Term Outcomes of Robot-Assisted Transabdominal Preperitoneal Inguinal Hernia Repair at a Municipal Hospital by a Robotic Surgery Novice: A Single-Center, Observational Study</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Robot-assisted transabdominal preperitoneal inguinal hernia repair (RTAPP) has been rapidly gaining popularity. However, RTAPP is currently limited to university hospitals and large medical centers and is performed mainly by experts in robotic surgery in Japan. In this study, we report the introduction of RTAPP at a municipal hospital by a robotic surgery novice and its short-term outcomes.
We reviewed the data of patients with inguinal hernias who underwent RTAPP performed by a single surgeon between November 2023 and May 2024 and evaluated its safety and short-term outcomes. A comparative study was conducted using laparoscopic transabdominal preperitoneal inguinal hernia repair (LTAPP) performed by the same surgeon.
We identified 13 lesions in 11 patients (unilateral in nine; bilateral in two) in the RTAPP group. The median operative time for unilateral cases was 137 (interquartile range [IQR], 75-200) min, with a console time of 98 (IQR, 40-156) min. The time for dissection, mesh placement, and peritoneal suturing was 67 (IQR, 44-79), 5 (IQR, 5-7), and 11 (IQR, 11-15) min, respectively. To date, no complications or recurrence has been observed in any of these cases. No significant difference in operational time was observed for unilateral cases between the RTAPP and LTAPP groups (137 min vs. 104; p = 0.129).
Our study suggests that RTAPP is safe and feasible, even at a municipal hospital, by a robotic surgery novice. Moreover, RTAPP is comparable to LTAPP in terms of performance.</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical Competence</subject><subject>Female</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - education</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Japan</subject><subject>Laparoscopy - education</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - education</subject><subject>Surgical Mesh</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1758-5910</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNUNtO4zAQtRArLl1e-ADkRx4IG8eJ7fBWVbBUgu2q7Xvl2JNilNjBl0r9v_2wTblIzMucOXPO0WgQuiT5LRnrlwwQbgktC3KEzgivRFbVJD_-hk_ReQivec44KekJOqU1E7Xg7Az9m9vonU4qGmextBqvXpyP2Rp8jxcpKtdDwK7FS9e4mE1DMCGCxmsvbZCNdr2xssN_PQzgTXQWxmlut-mdfgRvjcRLGKTxWEYs8XOyRpnhsHRhMHEEzX7k3_ONwqvkt-D3-I_bGQV3eIpXxm47yGZgI_gbvGgC-J083Dt6VzHp_U_0o5VdgIvPPkHrh_v17DF7Wvyez6ZP2VAxlumirHghRCNom0soqrzibVGUXNGibaHSXDNFIIe6YrkSgvOaSVFoqXVJqKjpBF1_xA7evSUIcdOboKDrpAWXwoaSktWl4OQgvfqUpqYHvRm86aXfb74eT_8D6OaICQ</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Arai, Hiroto</creator><creator>Matsushita, Hidenobu</creator><creator>Kawase, Yoshihisa</creator><creator>Okochi, Osamu</creator><creator>Takeda, Shigeomi</creator><creator>Yoshida, Koichi</creator><creator>Tanaka, Hideaki</creator><creator>Hirayama, Taichi</creator><creator>Yamamoto, Hiroyasu</creator><creator>Tsuboi, Takuma</creator><creator>Noji, Yuta</creator><creator>Kimura, Kaito</creator><creator>Makinoya, Koji</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0006-1687-6340</orcidid></search><sort><creationdate>202501</creationdate><title>Introduction and Short-Term Outcomes of Robot-Assisted Transabdominal Preperitoneal Inguinal Hernia Repair at a Municipal Hospital by a Robotic Surgery Novice: A Single-Center, Observational Study</title><author>Arai, Hiroto ; Matsushita, Hidenobu ; Kawase, Yoshihisa ; Okochi, Osamu ; Takeda, Shigeomi ; Yoshida, Koichi ; Tanaka, Hideaki ; Hirayama, Taichi ; Yamamoto, Hiroyasu ; Tsuboi, Takuma ; Noji, Yuta ; Kimura, Kaito ; Makinoya, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p566-d2457288b83f0ae25057f2247c32ffe5d7d6c1e0e9560c887796a82dadd413893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical Competence</topic><topic>Female</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - education</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Japan</topic><topic>Laparoscopy - education</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - education</topic><topic>Surgical Mesh</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arai, Hiroto</creatorcontrib><creatorcontrib>Matsushita, Hidenobu</creatorcontrib><creatorcontrib>Kawase, Yoshihisa</creatorcontrib><creatorcontrib>Okochi, Osamu</creatorcontrib><creatorcontrib>Takeda, Shigeomi</creatorcontrib><creatorcontrib>Yoshida, Koichi</creatorcontrib><creatorcontrib>Tanaka, Hideaki</creatorcontrib><creatorcontrib>Hirayama, Taichi</creatorcontrib><creatorcontrib>Yamamoto, Hiroyasu</creatorcontrib><creatorcontrib>Tsuboi, Takuma</creatorcontrib><creatorcontrib>Noji, Yuta</creatorcontrib><creatorcontrib>Kimura, Kaito</creatorcontrib><creatorcontrib>Makinoya, Koji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arai, Hiroto</au><au>Matsushita, Hidenobu</au><au>Kawase, Yoshihisa</au><au>Okochi, Osamu</au><au>Takeda, Shigeomi</au><au>Yoshida, Koichi</au><au>Tanaka, Hideaki</au><au>Hirayama, Taichi</au><au>Yamamoto, Hiroyasu</au><au>Tsuboi, Takuma</au><au>Noji, Yuta</au><au>Kimura, Kaito</au><au>Makinoya, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Introduction and Short-Term Outcomes of Robot-Assisted Transabdominal Preperitoneal Inguinal Hernia Repair at a Municipal Hospital by a Robotic Surgery Novice: A Single-Center, Observational Study</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2025-01</date><risdate>2025</risdate><volume>18</volume><issue>1</issue><spage>e13421</spage><pages>e13421-</pages><issn>1758-5910</issn><eissn>1758-5910</eissn><abstract>Robot-assisted transabdominal preperitoneal inguinal hernia repair (RTAPP) has been rapidly gaining popularity. However, RTAPP is currently limited to university hospitals and large medical centers and is performed mainly by experts in robotic surgery in Japan. In this study, we report the introduction of RTAPP at a municipal hospital by a robotic surgery novice and its short-term outcomes.
We reviewed the data of patients with inguinal hernias who underwent RTAPP performed by a single surgeon between November 2023 and May 2024 and evaluated its safety and short-term outcomes. A comparative study was conducted using laparoscopic transabdominal preperitoneal inguinal hernia repair (LTAPP) performed by the same surgeon.
We identified 13 lesions in 11 patients (unilateral in nine; bilateral in two) in the RTAPP group. The median operative time for unilateral cases was 137 (interquartile range [IQR], 75-200) min, with a console time of 98 (IQR, 40-156) min. The time for dissection, mesh placement, and peritoneal suturing was 67 (IQR, 44-79), 5 (IQR, 5-7), and 11 (IQR, 11-15) min, respectively. To date, no complications or recurrence has been observed in any of these cases. No significant difference in operational time was observed for unilateral cases between the RTAPP and LTAPP groups (137 min vs. 104; p = 0.129).
Our study suggests that RTAPP is safe and feasible, even at a municipal hospital, by a robotic surgery novice. Moreover, RTAPP is comparable to LTAPP in terms of performance.</abstract><cop>Japan</cop><pmid>39689876</pmid><doi>10.1111/ases.13421</doi><orcidid>https://orcid.org/0009-0006-1687-6340</orcidid></addata></record> |
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| ispartof | Asian journal of endoscopic surgery, 2025-01, Vol.18 (1), p.e13421 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Aged Clinical Competence Female Hernia, Inguinal - surgery Herniorrhaphy - education Herniorrhaphy - methods Humans Japan Laparoscopy - education Laparoscopy - methods Male Middle Aged Operative Time Retrospective Studies Robotic Surgical Procedures - education Surgical Mesh Time Factors Treatment Outcome |
| title | Introduction and Short-Term Outcomes of Robot-Assisted Transabdominal Preperitoneal Inguinal Hernia Repair at a Municipal Hospital by a Robotic Surgery Novice: A Single-Center, Observational Study |
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