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Open Access 05-10-2021 | Inguinal Hernia | Review Article

Robotic versus laparoscopic inguinal hernia repair: an updated systematic review and meta-analysis

Authors: Leonardo Solaini, Davide Cavaliere, Andrea Avanzolini, Giuseppe Rocco, Giorgio Ercolani

Published in: Journal of Robotic Surgery | Issue 4/2022

Abstract

The aim of this study was to review the latest evidence on the robotic approach (RHR) for inguinal hernia repair comparing the pooled outcome of this technique with those of the standard laparoscopic procedure (LHR). A systematic literature search was performed in PubMed, Web of Science and Scopus for studies published between 2010 and 2021 concerning the comparison between RHR versus LHR. After screening 582 articles, 9 articles with a total of 64,426 patients (7589 RHRs) were eligible for inclusion. Among preoperative variables, a pooled higher ratio of ASA > 2 patients was found in the robotic group (12.4 vs 8.6%, p < 0.001). Unilateral hernia repair was more common in the laparoscopic group (79.9 vs 68.1, p < 0.001). Overall, operative time was longer in the robotic group (160 vs 90 min, p < 0.001); this was confirmed also in the sub-analysis on unilateral procedures (88 vs 68 min, p = 0.040). The operative time for robotic bilateral repair was similar to the laparoscopic one (111 vs 100, p = 0.797). Conversion to open surgery was 0% in the robotic group. The pooled rate of chronic pain and postoperative complications was similar between the groups. The standardized mean difference MD of the costs between LHR versus RHR was − 3270$ (95% CI – 4757 to − 1782, p < 0.001). In conclusion, laparoscopic and robotic inguinal hernia repair have similar safety parameters and postoperative outcomes. Robotic approach may require longer operative time if the unilateral repair is performed. Costs are higher in the robotic group.

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Title: Robotic versus laparoscopic inguinal hernia repair: an updated systematic review and meta-analysis
Authors: Leonardo Solaini
Davide Cavaliere
Andrea Avanzolini
Giuseppe Rocco
Giorgio Ercolani
Publication date: 05-10-2021
Publisher: Springer London
Keywords: Inguinal Hernia
Hernia Surgery
Published in: Journal of Robotic Surgery / Issue 4/2022
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-021-01312-6

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Robotic versus laparoscopic inguinal hernia repair: an updated systematic review and meta-analysis

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