Observational studyHernia : the journal of hernias and abdominal wall surgery2024
Laparoscopic versus robotic TAPP/TEP inguinal hernia repair: a multicenter, propensity score weighted study.
Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comparative outcomes of robotic versus laparoscopic inguinal hernia repair: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robotic transabdominal preperitoneal versus laparoscopic total extraperitoneal inguinal hernia repair: a systematic review and meta-analysis with trial sequential analysis.Journal of robotic surgery · 2025Pooled it
- Laparoscopic versus robotic transabdominal preperitoneal inguinal hernia repair: a randomized controlled trial.Surgical endoscopy · 2026Trial
- Robotic versus laparoscopic minimally invasive inguinal hernia repair: randomized clinical trial (the ROGER trial).The British journal of surgery · 2025Trial
- Robotic transabdominal pre-peritoneal repair of a bilateral inguinal hernia: a surgical technique displaying an educational roadmap using Furtado's 5 triangles concept.Journal of visualized surgery · 2026Article
- Short-term outcomes of robotic-assisted versus laparoscopic inguinal hernia repair: a single-center retrospective study in Taiwan.Frontiers in surgery · 2026Article
- Role of Robotic Surgery and Artificial Intelligence in the Management of Abdominal Wall Hernias: A Systematic Review.Cureus · 2025Review
- Introducing Senhance robotic totally extraperitoneal (TEP) hernioplasty: initial experiences, learning curve, and mid-term outcomes from a single center.Journal of robotic surgery · 2025Article
- Ergonomic strain of robotic-assisted versus laparoscopic inguinal hernia repair (ESRALI)-a crossover trial.Surgical endoscopy · 2025Observational
- 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
- Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- A new approach to mesh fixation in laparoscopic transabdominal technique, "suture passer", superior or not?Updates in surgery · 2024Article
- Article
- Robotic Assisted Hernia Repair in Four Nordic Countries - Status and Challenges.Journal of abdominal wall surgery : JAWS · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe objective of this retrospective study was to assess safety and comparative clinical effectiveness of laparoscopic inguinal hernia repair (LIHR) and robot-assisted inguinal hernia repair (RIHR) from multi-institutional experience in Taiwan.
methodsMedical records from a total of eight hospitals were retrospectively collected and analyzed. Patients primarily diagnosed of inguinal hernia, recurrent inguinal hernia or incarceration groin hernia patients who either underwent laparoscopic or robot-assisted inguinal hernia repair between January 2018 and December 2022 were included in the study. Baseline characteristics, intra-operative and post-operative results were analyzed. To compare two cohorts, overlap weighting was employed to balance the significant inter-group differences. We also conducted subgroup analyses by state of a hernia (primary or recurrent/incarceration) and laterality (unilateral or bilateral) that indicated complexity of surgery.
resultsA total of 1,080 patients who underwent minimally invasive inguinal hernia repair from 8 hospitals across Taiwan were collected. Following the application of inclusion criteria, there were 279 patients received RIHR and 763 patients received LIHR. In the baseline analysis, RIHR was more often performed in recurrent/incarceration (RIHR 18.6% vs LIHR 10.3%, p = 0.001) and bilateral cases (RIHR 81.4 vs LIHR 58.3, p < 0.001). Suturing was dominant mesh fixation method in RIHR (RIHR 81% vs LIHR 35.8%, p < 0.001). More overweight patients were treated with RIHR (RIHR 58.8% vs LIHR 48.9%, p = 0.006). After overlap weighting, there were no significant difference in intraoperative and post-operative complications between RIHR and LIHR. Reoperation and prescription rates of pain medication (opioid) were significantly lower in RIHR than LIHR in overall group comparison (reoperation: RIHR 0% vs. LIHR 2.9%, p = 0.016) (Opioid prescription: RIHR 3.34 mg vs LIHR 10.82 mg, p = 0.001) while operation time was significantly longer in RIHR (OR time: RIHR 155.27 min vs LIHR 95.30 min, p < 0.001).
conclusionsThis real-world experience suggested that RIHR is a safe, and feasible option with comparable intra-operative and post-operative outcomes to LHIR. In our study, RIHR showed technical advantages in more complicated hernia cases with yielding to lower reoperation rates, and less opioid use.
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