Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials
Abstract Purpose To comprehensively compare the surgical outcomes of robotic ventral hernia repair (rVHR) with traditional endo-laparoscopic ventral hernia repair (lapVHR) using systematic review methods, evaluating the efficacy and safety of rVHR and providing reference for clinical applications of...
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2025-07-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-025-02997-4 |
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| author | Junfeng Li Shihong Li Lunwu Wei Huiping Li |
| author_facet | Junfeng Li Shihong Li Lunwu Wei Huiping Li |
| author_sort | Junfeng Li |
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| description | Abstract Purpose To comprehensively compare the surgical outcomes of robotic ventral hernia repair (rVHR) with traditional endo-laparoscopic ventral hernia repair (lapVHR) using systematic review methods, evaluating the efficacy and safety of rVHR and providing reference for clinical applications of rVHR. Methods This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) list. The following electronic databases were searched: PubMed, Web of science, Cochrane library, Embase, Scopus, and SpringerLink. The retrieval period spanned from the inception of database until 2024. Only randomized controlled trials were included. Outcomes of recurrence, re-hernioplasty, operative time, length of hospital stay and surgical site occurrence were compared between rVHR and lapVHR. Results A total of 5 studies (237 patients) were included in the meta-analysis. Compared with lapVHR, the treatment of rVHR significantly decreased re-hernioplasty (RR = 0.17, 95% CI 0.04–0.66). Additionally, rVHR significantly reduced the length of hospital stay (MD = 0.48, 95% CI: 0.25, 0.71) and operative time (MD = 69.45, 95%CI: 45.76, 93.14). In addition, rVHR can reduce the recurrence rate, but it is a marginal statistical difference (RR = 0.46, 95% CI: 0.19, 1.13). Conclusion Overall, both rVHR and lapVHR were effective and safe. Nevertheless, rVHR shows superiority in terms of recurrence rate and re-hernioplasty rate. More high-quality studies are warranted to validate the results of this study. |
| format | Article |
| id | doaj-art-c1de3d987ef54ab29e96ec3dbbd7f738 |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
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| series | BMC Surgery |
| spelling | doaj-art-c1de3d987ef54ab29e96ec3dbbd7f7382025-08-20T03:45:24ZengBMCBMC Surgery1471-24822025-07-0125111010.1186/s12893-025-02997-4Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trialsJunfeng Li0Shihong Li1Lunwu Wei2Huiping Li3Department of General Surgery, Jiangyou second People’s hospitalDepartment of Gastrointestinal Surgery, the Third People’s Hospital of ChengduDepartment of Ultrasound Medicine, Jiangyou second People’s hospitalDepartment of Clinical Medicine, North Sichuan Medical CollegeAbstract Purpose To comprehensively compare the surgical outcomes of robotic ventral hernia repair (rVHR) with traditional endo-laparoscopic ventral hernia repair (lapVHR) using systematic review methods, evaluating the efficacy and safety of rVHR and providing reference for clinical applications of rVHR. Methods This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) list. The following electronic databases were searched: PubMed, Web of science, Cochrane library, Embase, Scopus, and SpringerLink. The retrieval period spanned from the inception of database until 2024. Only randomized controlled trials were included. Outcomes of recurrence, re-hernioplasty, operative time, length of hospital stay and surgical site occurrence were compared between rVHR and lapVHR. Results A total of 5 studies (237 patients) were included in the meta-analysis. Compared with lapVHR, the treatment of rVHR significantly decreased re-hernioplasty (RR = 0.17, 95% CI 0.04–0.66). Additionally, rVHR significantly reduced the length of hospital stay (MD = 0.48, 95% CI: 0.25, 0.71) and operative time (MD = 69.45, 95%CI: 45.76, 93.14). In addition, rVHR can reduce the recurrence rate, but it is a marginal statistical difference (RR = 0.46, 95% CI: 0.19, 1.13). Conclusion Overall, both rVHR and lapVHR were effective and safe. Nevertheless, rVHR shows superiority in terms of recurrence rate and re-hernioplasty rate. More high-quality studies are warranted to validate the results of this study.https://doi.org/10.1186/s12893-025-02997-4Robotic-assisted ventral hernia repair (rVHR)Endo-laparoscopic ventral hernia repair (lapVHR)Systematic reviewMeta-analysis |
| spellingShingle | Junfeng Li Shihong Li Lunwu Wei Huiping Li Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials BMC Surgery Robotic-assisted ventral hernia repair (rVHR) Endo-laparoscopic ventral hernia repair (lapVHR) Systematic review Meta-analysis |
| title | Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials |
| title_full | Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials |
| title_fullStr | Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials |
| title_full_unstemmed | Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials |
| title_short | Efficacy and safety of robot-assisted versus endo-laparoscopic ventral hernia repair: a meta-analysis of randomized controlled trials |
| title_sort | efficacy and safety of robot assisted versus endo laparoscopic ventral hernia repair a meta analysis of randomized controlled trials |
| topic | Robotic-assisted ventral hernia repair (rVHR) Endo-laparoscopic ventral hernia repair (lapVHR) Systematic review Meta-analysis |
| url | https://doi.org/10.1186/s12893-025-02997-4 |
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