ArticleHernia : the journal of hernias and abdominal wall surgery2023
Differences in the learning curve of robotic transabdominal preperitoneal inguinal hernia repair according to surgeon's robotic experience.
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 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Short-term outcomes of robotic versus laparoscopic TAPP for inguinal hernia repair: a systematic review, meta-analysis, and GRADE assessment.Journal of robotic surgery · 2026Pooled it
- Global trends in learning curves of robot-assisted urological surgery: a bibliometric analysis of surgical safety and functional recovery.Journal of robotic surgery · 2026Review
- Making robotic surgery viable and training general surgeons in the Brazilian public healthcare.Journal of robotic surgery · 2026Article
- Learning curve of robotic-assisted transabdominal preperitoneal inguinal hernia repair (r-TAPP): a scoping review of CUSUM-based studies.Journal of robotic surgery · 2026Article
- Surgeon experience and patient selection influence the learning curve in robotic inguinal hernia repair.Journal of robotic surgery · 2025Article
- Correspondence: short-term outcomes of robotic eTEP versus TAPP for ventral hernia repair: insights from a propensity-matched cohort.Journal of robotic surgery · 2025Article
- Balloon dissection for robotic totally extra-peritoneal (rTEP) inguinal herniorrhaphy: description of a modified technique and report on 97 consecutive patients.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Learning Curves for Robotic-Assisted Ventral Hernia Repair.JAMA network open · 2024Article
- Video Review Can Measure Surgical Robotic Skill Development in a Resident Robotic Hernia Curriculum: A Retrospective Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Education in Robotic Hernia Surgery-Current Situation.Journal of abdominal wall surgery : JAWS · 2023Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeIn this study, we aim to analyze the learning curve of each step of robotic transabdominal pre-peritoneal inguinal hernia repair (rTAPP) in two surgeons with varying degrees of expertise with the robotic platform but no experience with laparoscopic hernia repair.
methodsData on 124 rTAPP cases performed by two surgeons were retrospectively reviewed. Cumulative sum (CUSUM) analysis was applied to visualize the learning curve of rTAPP on operation time of each step of the procedure [the peritoneal flap creation (T1), the completion of the critical view of the myopectineal orifice (T2), the mesh application (T3) and the peritoneal flap closure (T4)]. Each intraoperative and postoperative outcome was compared according to surgeon's experience with the robotic platform and learning phase. The robotic surgeon mentored the surgeon-in-training and was present during all surgeries in his learning period.
resultsThe surgeon in training with the robotic platform showed a learning phase till the 20th procedure followed by a gradual improvement in performances. The expert surgeon showed a learning phase till the 35th procedure after which a constant decrease of operative time was recorded till the last procedure included. The operative times of each step of the procedures of both surgeons were significantly improved after the learning phase. In the late phase, the surgeon in training could achieve operative times in T2 and T3, which are similar to those of an experienced robotic surgeon with no experience with TAPP before the completion of the learning phase.
conclusionsIn conclusion, the learning phase of rTAPP surgery may vary between 20 and 35 cases, depending on the surgeon's experience in robotic surgery.
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