First Results of Pediatric Robotic Inguinal Hernia Repair with the Senhance® Surgical System: A Matched Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. System
2.2. Patients
2.3. Procedure and Team
2.4. Clinical Outcomes
2.5. Data Analysis and Statistics
3. Results
3.1. Population Characteristics
3.2. Perioperative Outcomes
3.3. Postoperative Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
References
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Robotic IHR (n = 26) | Laparoscopic IHR (n = 26) | p-Value | |
---|---|---|---|
Age at time of surgery (years) Mean ± SD (range) | 3.0 ± 2.4 (0.25–8.0) | 3.2 ± 2.7 (0.25–7.0) | 0.206 |
Gender | 69% male (18 male, 8 female) | 69% male (18 male, 8 female) | 1.000 |
Weight (kg) Mean ± SD (range) | 15.1 ± 6.7 (3.2–27.0) | 15.7 ± 8.2 (3.7–32.4) | 0.276 |
Preoperative indication | 2 bilateral IH (8%) 24 unilateral IH (92%) | 2 bilateral IH (8%) 24 unilateral IH (92%) | |
Perioperative diagnosis | 7 bilateral IH (27%) 19 unilateral IH (73%) | 6 bilateral IH (23%) 20 unilateral IH (77%) |
Robotic IHR (n = 26) | Laparoscopic IHR (n = 26) | p-Value | |
---|---|---|---|
Perioperative outcomes | |||
Total anesthesia time, corrected for bilateral cases 1 (min) Mean ± SD (range) | 112.2 ± 19.5 (58.0–143.0) | 71.0 ± 16.9 (45.5–102.0) | <0.001 * |
Net-surgical time 2 (min) Mean ± SD (range) | 50.8 ± 17.0 (28.0–87.0) | 43.4 ± 21.4 (16.0–104.0) | 0.214 |
Docking time of SSS® 3 (min) Mean ± SD (range) | 7.7 ± 5.0 (3.0–21.0) | n.a. | |
Conversion to conventional laparoscopy (n (%)) | 2 (6.0) (one side of two bilateral cases) | n.a. | |
Conversion to open procedure (n (%)) | 0 (0) | 0 (0) | |
Postoperative outcomes | |||
Postoperative hospital stay (nights) Mean ± SD (range) | 0.2 ± 0.4 (0.0–1.0) | 0.2 ± 0.4 (0.0–1.0) | 0.739 |
Readmission within 30 days (n (%)) | 0 (0) | 1 (3.8) | 1.000 |
Recurrence (n (%)) | 1 (3.2) | 1 (3.1) | 1.000 |
Other complications (n (%)) | 0 (0) | 1 (3.8) Same case as readmission | 1.000 |
Length of follow-up (years) Mean ± SD (range) | 1.6 ± 1.3 (0.08–3.3) | 2.1 ± 1.8 (0.1–6.3) | 0.253 |
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Eurlings, R.; Killaars, R.E.M.; Cakir, H.; Dirix, M.; Theeuws, O.; Staib, L.; Stephan, D.; Visschers, R.G.J.; van Gemert, W.G. First Results of Pediatric Robotic Inguinal Hernia Repair with the Senhance® Surgical System: A Matched Cohort Study. Healthcare 2024, 12, 1703. https://doi.org/10.3390/healthcare12171703
Eurlings R, Killaars REM, Cakir H, Dirix M, Theeuws O, Staib L, Stephan D, Visschers RGJ, van Gemert WG. First Results of Pediatric Robotic Inguinal Hernia Repair with the Senhance® Surgical System: A Matched Cohort Study. Healthcare. 2024; 12(17):1703. https://doi.org/10.3390/healthcare12171703
Chicago/Turabian StyleEurlings, Roxanne, Rianne E. M. Killaars, Hamit Cakir, Marc Dirix, Olivier Theeuws, Ludger Staib, Dietmar Stephan, Ruben G. J. Visschers, and Wim G. van Gemert. 2024. "First Results of Pediatric Robotic Inguinal Hernia Repair with the Senhance® Surgical System: A Matched Cohort Study" Healthcare 12, no. 17: 1703. https://doi.org/10.3390/healthcare12171703