Evidence map›Paper›PMID 36595086›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

Comparison of short-term outcomes of robotic and laparoscopic transabdominal peritoneal repair for unilateral inguinal hernia: a propensity-score matched analysis.

N Okamoto, S Mineta, K Mishima, Y Fujiyama, T Wakabayashi, S Fujita, J Sakamoto, G Wakabayashi

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

N OkamotoDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan. ceutmtlt@gmail.com.ORCID http://orcid.org/0000-0003-3094-462X
S MinetaDepartment of Surgery, Chiba Tokusyukai Hospital, Funabashi, Japan.
K MishimaDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan.
Y FujiyamaDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan.
T WakabayashiDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan.
S FujitaDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan.
J SakamotoDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan.
G WakabayashiDepartment of Surgery, Ageo Central General Hospital, Ageo, Japan.
Hakodate Central General Hospital · JPChiba Hokusou Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to compare perioperative outcomes of robotic and laparoscopic transabdominal peritoneal repair (TAPP) for unilateral inguinal hernia.

methodsThis single institutional retrospective cohort study used de-identified data of patients who underwent robotic TAPP (R-TAPP) or laparoscopic TAPP (L-TAPP) for unilateral inguinal hernia between January 1, 2016 and October 31, 2021. Two cohorts were propensity matched, and data were analyzed. The learning curve was evaluated in the R-TAPP group.

resultsAmong 938 patients analyzed, 704 were included. After propensity-score matching, 80 patients were included in each group. The difference in operative time between R-TAPP and L-TAPP groups was 10 min (99.5 and 89.5 min, p = 0.087); however, console/laparoscopic time was similar (67 and 66 min, p = 0.71). The dissection time for medial-type hernia in the R-TAPP group was marginally shorter than that in the L-TAPP group (17 and 27 min, p = 0.056); however, there was no difference for lateral-type hernia (38.5 and 40 min p = 0.37). Perioperative variables, including estimated blood loss, postoperative hospital stay, and postoperative pain, had no significant difference, and chronic pain, which needed medication or intervention, was not observed in each group. The number of cases needed to achieve plateau performance was 7-10 in the R-TAPP group.

conclusionThis study suggests that R-TAPP was safely introduced, and its perioperative outcomes were not inferior to those of L-TAPP. A shorter dissection time for medial-type hernia might be due to the robot's advantages, and a fast-learning curve could help with the early standardization of the procedure.

Indexed as

Hernia, InguinalLaparoscopyRoboticsRobotic Surgical ProceduresHerniorrhaphyHumansRetrospective StudiesTreatment OutcomeLaparoscopic inguinal hernia repairLearning curvePropensity score matchingRobotic inguinal hernia repair

Identifiers

PMID36595086
OpenAlexW4313454291

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.