Table 4.
Hernias/Miscellaneous
| References | Study design | Outcome | Further notes | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Design | Study period | n (urgent, robotic) | n (non-urgent) | Primary study objective | Robot | Differentiated urgent vs. non-urgent | Complications | Further outcomes of interest | ||
| n (control) | Conversions | |||||||||
| Bou-Ayash et al. [25] | R-NRNC | 2/2013–5/2020 | 19 | – | Incarcerated inguinal hernia | Da Vinci | Yes | 5.3% CD IVa (n = 1; hypercarbia); 10.6% CD < 3 | ||
| – | No conversions | |||||||||
| Cubas et al. [68] | CR | n.d | 1 | – | Incarcerated morgagni hernia | Da Vinci | Yes | No complication | ||
| – | No conversion | |||||||||
| Ceccarelli et al. [69] | CS | 12/2009–12/2019 | 3 | – | Strangulated hiatal hernias | Da Vinci | Yes | 33% (n = 1) CD 3 | ||
| 2 lap | No conversions | |||||||||
| Giulianotti et al. [15] | R-NRNC | 10/2000–11/2002 | 1 | 192 | Feasibility; here: posttraumatic spleen hematoma | Da Vinci | No | No complications | One CD V in non-urgent patients | |
| – | No conversions | |||||||||
| Hosein et al. [27] | database query | 2015–2017 | 131 | 704 | Hiatal hernia repair: robotic vs. Lap. Vs. Open | n.d | No | 2% overall complications; 0.1% (n = 1) CD V | More urgent and severe ill cases in open; robotic less complication than lap/open | |
| 1488 open 6774 lap | n.d | |||||||||
| Muhonen et al. [70] | CS | n.d | 1 | – | Incarcerated paraduodenal hernia | Da Vinci | Yes | No complications | ||
| 2 lap | No conversions | |||||||||
| Muysoms et al. [41] | R-NRC | 1/2016–12/2019 | 8 | 396 | Robotic vs. Lap. Inguinal hernia | Da Vinci | No | 3.5% CD II, 0.2% CD IIIb | Shorter hospital stay, higher costs in robotic group | |
| 272 | No conversions | |||||||||
| Kudsi et al. [40] | R-NRC | 2013–2019 | 34 | – | Incarcerated hernia robotic vs. Open | Da Vinci | Yes | 23.3% < CD 3; 13.3% ≥ CD 3; 3.2% recurrence | OT shorter in open, more CD ≥ 3 in open, more SSI in open | IPOM & TAPP |
| 43 | No conversions | |||||||||
| Smith et al. [71] | CR | n.d | 1 | – | Incarcerated inguinal hernia | Da Vinci | Yes | No complications | TAPP | |
| – | No conversion | |||||||||
Only statistically significant differences listed
CD Clavien-Dindo classification of complications, CS Case series, lap laparoscopic, IPOM intraperitoneal only mesh, n.d. not documented, OT operation time, R-NRC non-randomized, controlled, R-NRNC retrospective, non-randomized, not controlled, SSI surgical site infections, TAPP transabdominal pre-peritoneal hernia repair