Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia.
<h4>Background</h4>Inguinal hernia is a common global disease. This study aims to investigate the effectiveness and safety of robot-assisted transabdominal preperitoneal repair (RTAPP) and laparoscopic transabdominal preperitoneal repair (LTAPP) for inguinal hernia.<h4>Methods</...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0298989&type=printable |
| _version_ | 1797279596119326720 |
|---|---|
| author | Xi Li Yue-Juan Li Hui Dong Deng-Chao Wang Jian Wei |
| author_facet | Xi Li Yue-Juan Li Hui Dong Deng-Chao Wang Jian Wei |
| author_sort | Xi Li |
| collection | DOAJ |
| description | <h4>Background</h4>Inguinal hernia is a common global disease. This study aims to investigate the effectiveness and safety of robot-assisted transabdominal preperitoneal repair (RTAPP) and laparoscopic transabdominal preperitoneal repair (LTAPP) for inguinal hernia.<h4>Methods</h4>We conducted a thorough search in Cochrane Library, Embase, and PubMed for relevant clinical studies. After applying inclusion and exclusion criteria, the quality of selected studies was assessed using the Jadad scale for randomized controlled studies and the Newcastle-Ottawa scale for observational studies. Meta-analysis was performed using RevMan 5.3 software.<h4>Results</h4>A total of ten studies were included, comprising two randomized controlled studies and eight non-randomized controlled studies. Meta-analysis results revealed no statistically significant differences between the RTAPP group and the LTAPP group regarding hospital stay [MD = 0.21 days, 95% CI (-0.09, 0.51), P = 0.17], incidence of seroma [OR = 0.85, 95% CI(0.45, 1.59), P = 0.61], overall complication rate [OR = 1.22, 95% CI(0.68, 2.18), P = 0.51], readmission rate [OR = 1.31, 95% CI(0.23, 7.47), P = 0.76], and recurrence rate [OR = 0.82, 95% CI(0.22, 3.07), P = 0.77]. However, the RTAPP group had longer operation time compared to the LTAPP group [MD = 14.02 minutes, 95% CI (6.65, 21.39), P = 0.0002], and the cost of the RTAPP procedure was higher than that of the LTAPP procedure [MD = $4.17 thousand, 95% CI (2.59, 5.76), P<0.00001].<h4>Conclusion</h4>RTAPP for inguinal hernia is a safe and feasible approach, however, it is associated with increased operation time and treatment costs. |
| first_indexed | 2024-03-07T16:28:26Z |
| format | Article |
| id | doaj.art-3a97afdce9024c6d8a08b92c457b7697 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-07T16:28:26Z |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-3a97afdce9024c6d8a08b92c457b76972024-03-03T12:56:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01192e029898910.1371/journal.pone.0298989Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia.Xi LiYue-Juan LiHui DongDeng-Chao WangJian Wei<h4>Background</h4>Inguinal hernia is a common global disease. This study aims to investigate the effectiveness and safety of robot-assisted transabdominal preperitoneal repair (RTAPP) and laparoscopic transabdominal preperitoneal repair (LTAPP) for inguinal hernia.<h4>Methods</h4>We conducted a thorough search in Cochrane Library, Embase, and PubMed for relevant clinical studies. After applying inclusion and exclusion criteria, the quality of selected studies was assessed using the Jadad scale for randomized controlled studies and the Newcastle-Ottawa scale for observational studies. Meta-analysis was performed using RevMan 5.3 software.<h4>Results</h4>A total of ten studies were included, comprising two randomized controlled studies and eight non-randomized controlled studies. Meta-analysis results revealed no statistically significant differences between the RTAPP group and the LTAPP group regarding hospital stay [MD = 0.21 days, 95% CI (-0.09, 0.51), P = 0.17], incidence of seroma [OR = 0.85, 95% CI(0.45, 1.59), P = 0.61], overall complication rate [OR = 1.22, 95% CI(0.68, 2.18), P = 0.51], readmission rate [OR = 1.31, 95% CI(0.23, 7.47), P = 0.76], and recurrence rate [OR = 0.82, 95% CI(0.22, 3.07), P = 0.77]. However, the RTAPP group had longer operation time compared to the LTAPP group [MD = 14.02 minutes, 95% CI (6.65, 21.39), P = 0.0002], and the cost of the RTAPP procedure was higher than that of the LTAPP procedure [MD = $4.17 thousand, 95% CI (2.59, 5.76), P<0.00001].<h4>Conclusion</h4>RTAPP for inguinal hernia is a safe and feasible approach, however, it is associated with increased operation time and treatment costs.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0298989&type=printable |
| spellingShingle | Xi Li Yue-Juan Li Hui Dong Deng-Chao Wang Jian Wei Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia. PLoS ONE |
| title | Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia. |
| title_full | Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia. |
| title_fullStr | Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia. |
| title_full_unstemmed | Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia. |
| title_short | Meta-analysis of the effectiveness and safety of robotic-assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia. |
| title_sort | meta analysis of the effectiveness and safety of robotic assisted versus laparoscopic transabdominal preperitoneal repair for inguinal hernia |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0298989&type=printable |
| work_keys_str_mv | AT xili metaanalysisoftheeffectivenessandsafetyofroboticassistedversuslaparoscopictransabdominalpreperitonealrepairforinguinalhernia AT yuejuanli metaanalysisoftheeffectivenessandsafetyofroboticassistedversuslaparoscopictransabdominalpreperitonealrepairforinguinalhernia AT huidong metaanalysisoftheeffectivenessandsafetyofroboticassistedversuslaparoscopictransabdominalpreperitonealrepairforinguinalhernia AT dengchaowang metaanalysisoftheeffectivenessandsafetyofroboticassistedversuslaparoscopictransabdominalpreperitonealrepairforinguinalhernia AT jianwei metaanalysisoftheeffectivenessandsafetyofroboticassistedversuslaparoscopictransabdominalpreperitonealrepairforinguinalhernia |