Lateral-dock single-port robotic-assisted extended totally extraperitoneal plasty (eTEP)-Sublay-Herniotomy-Procedure- presentation of a novel technique for robotic-assisted ventral hernia surgery (with video).

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-07-12 DOI:10.1007/s10029-025-03420-w

Julian Hipp, Robin Klewitz, Hannes Neeff, Stefan Fichtner-Feigl, Philipp Anton Holzner

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引用次数: 0

Abstract

Introduction: Robotic-assisted minimally-invasive extended totally extraperitoneal plasty (eTEP)-sublay-herniotomy is one of the most promising novel techniques for the management of ventral hernia. While several techniques for multiport-robotic-assisted eTEP have been described, only very few reports on suprapubic single-port robotic-assisted eTEP-techniques have been published. The technical limitations of this access leave room for further technical development using single-port-robotic systems.

Methods: We give a detailed description of our novel lateral-dock single-port robotic-assisted eTEP-procedure (Freiburg approach, FReTEP). Feasibility of the access was demonstrated within a human cadaveric procedure, and two consecutive patients were treated using the FReTEP-procedure.

Results: Two consecutive patients were successfully treated without postoperative complications and without early hernia recurrence using the FReTEP-procedure.

Conclusion: The FReTEP-procedure is a promising novel technique for single-port-robotic-assisted ventral hernia repair. Further studies are needed to evaluate the novel procedure.

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侧坞单端口机器人辅助扩展全腹膜外成形术(eTEP)-下疝切开术-机器人辅助腹疝手术新技术的介绍（附视频）。

机器人辅助的微创扩展全腹膜外成形术(eTEP)-疝下切开术是治疗腹疝最有前途的新技术之一。虽然已经描述了几种多端口机器人辅助eTEP技术，但关于耻骨上单端口机器人辅助eTEP技术的报道很少。这种通道的技术限制为使用单端口机器人系统的进一步技术开发留下了空间。方法：我们详细描述了我们的新型侧坞单端口机器人辅助etep程序（Freiburg入路，FReTEP）。在人体尸体手术中证明了该通道的可行性，并连续两例患者使用fretep手术进行治疗。结果：连续2例患者均成功治疗，无术后并发症，无早期疝复发。结论：fretep是一种很有前途的单孔机器人腹疝修补新技术。需要进一步的研究来评估这种新方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.