{"title":"机器人与腹腔镜腹股沟疝修补术的临床和患者报告结果。","authors":"Randeep Wadhawan, Deepa Kizhakke Veetil, Priti Batra, Arun Bhardwaj, Naveen Kumar Verma","doi":"10.4293/JSLS.2025.00005","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the clinical and patient-reported outcomes of laparoscopic and robotic-assisted inguinal hernia repair in Indian real-world settings.</p><p><strong>Methods: </strong>This is a single-center, prospective, nonrandomized, comparative study. Consecutive patients who were 18 years of age or older, and provided informed consent were included in the study between June 2023 and May 2024.</p><p><strong>Results: </strong>In all, 83 patients were prospectively enrolled in this study: 24 patients were in the robotic-assisted surgery (RAS) group and 59 patients were in the laparoscopic surgery (LS) group. The baseline characteristics of the study cohorts were comparable. The mean total operating time for the RAS group was significantly longer than the LS group (89.83 ± 24.31 vs 67.71 ± 18.34 minutes, <i>P</i> = .0000). For the bilateral hernias, the RAS group's total operating time was significantly longer than that of the LS group; however, for the unilateral hernias, there was no discernible difference. Urine retention was the only early complication in 8.33% and 16.95% of patients, respectively, in the RAS and LS groups. The duration of hospital stay did not significantly differ between the 2 groups (<i>P</i> = .395). The pain scores of the RAS group were significantly lower on postoperative days 1, 4, and 7. Patients in the RAS group scored considerably higher on the quality of life (QoL) scale 1 month after surgery than patients in the LS group.</p><p><strong>Conclusion: </strong>This study reports encouraging preliminary clinical outcomes of RAS inguinal hernia repairs in Indian settings, in terms of postoperative pain and QoL.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"29 2","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057728/pdf/","citationCount":"0","resultStr":"{\"title\":\"Clinical and Patient-Reported Outcomes of Robotic Versus Laparoscopic Inguinal Hernia Repair.\",\"authors\":\"Randeep Wadhawan, Deepa Kizhakke Veetil, Priti Batra, Arun Bhardwaj, Naveen Kumar Verma\",\"doi\":\"10.4293/JSLS.2025.00005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study aimed to assess the clinical and patient-reported outcomes of laparoscopic and robotic-assisted inguinal hernia repair in Indian real-world settings.</p><p><strong>Methods: </strong>This is a single-center, prospective, nonrandomized, comparative study. 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引用次数: 0
摘要
背景:本研究旨在评估在印度现实环境中腹腔镜和机器人辅助腹股沟疝修复的临床和患者报告的结果。方法:这是一项单中心、前瞻性、非随机、比较研究。在2023年6月至2024年5月期间,18岁或以上并提供知情同意的连续患者被纳入研究。结果:本研究共纳入83例患者,其中机器人辅助手术(RAS)组24例,腹腔镜手术(LS)组59例。研究队列的基线特征具有可比性。RAS组的平均总手术时间明显长于LS组(89.83±24.31 vs 67.71±18.34 min, P = 0.00000)。对于双侧疝,RAS组总手术时间明显长于LS组;然而,对于单侧疝,没有明显的差异。在RAS组和LS组中,尿潴留是唯一的早期并发症,分别为8.33%和16.95%。两组患者住院时间差异无统计学意义(P = .395)。RAS组术后第1、4、7天疼痛评分明显降低。RAS组患者术后1个月生活质量(QoL)评分明显高于LS组。结论:本研究报告了印度RAS腹股沟疝修补术在术后疼痛和生活质量方面令人鼓舞的初步临床结果。
Clinical and Patient-Reported Outcomes of Robotic Versus Laparoscopic Inguinal Hernia Repair.
Background: This study aimed to assess the clinical and patient-reported outcomes of laparoscopic and robotic-assisted inguinal hernia repair in Indian real-world settings.
Methods: This is a single-center, prospective, nonrandomized, comparative study. Consecutive patients who were 18 years of age or older, and provided informed consent were included in the study between June 2023 and May 2024.
Results: In all, 83 patients were prospectively enrolled in this study: 24 patients were in the robotic-assisted surgery (RAS) group and 59 patients were in the laparoscopic surgery (LS) group. The baseline characteristics of the study cohorts were comparable. The mean total operating time for the RAS group was significantly longer than the LS group (89.83 ± 24.31 vs 67.71 ± 18.34 minutes, P = .0000). For the bilateral hernias, the RAS group's total operating time was significantly longer than that of the LS group; however, for the unilateral hernias, there was no discernible difference. Urine retention was the only early complication in 8.33% and 16.95% of patients, respectively, in the RAS and LS groups. The duration of hospital stay did not significantly differ between the 2 groups (P = .395). The pain scores of the RAS group were significantly lower on postoperative days 1, 4, and 7. Patients in the RAS group scored considerably higher on the quality of life (QoL) scale 1 month after surgery than patients in the LS group.
Conclusion: This study reports encouraging preliminary clinical outcomes of RAS inguinal hernia repairs in Indian settings, in terms of postoperative pain and QoL.
期刊介绍:
JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.