Comparing rates of bowel injury for laparoscopic and robotic ventral hernia repair: a retrospective analysis of the abdominal core health quality collaborative.
Bowel Injury
Enterotomy
Laparoscopy
Minimally Invasive Hernia Repair
Robotic Surgery
Surgical Complications
Ventral Hernia
Journal
Hernia : the journal of hernias and abdominal wall surgery
ISSN: 1248-9204
Titre abrégé: Hernia
Pays: France
ID NLM: 9715168
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
26
10
2021
accepted:
08
01
2022
pubmed:
31
1
2022
medline:
5
10
2022
entrez:
30
1
2022
Statut:
ppublish
Résumé
Bowel injury during laparoscopic and robotic ventral hernia repair is a rare but potentially serious complication. We sought to compare bowel injury rates during minimally invasive approaches to ventral hernia repair using a national hernia registry. Patients undergoing elective laparoscopic and robotic ventral hernia repair (including cases converted-to-open) between 2013 and 2021 were retrospectively identified in the Abdominal Core Health Quality Collaborative registry. The primary outcome was bowel injury, which included partial- and full-thickness injuries and re-operations for missed enterotomies. Statistical analysis was performed using multivariate logistic regression. Overall, 10,660 patients were included (4116 laparoscopic, 6544 robotic). The laparoscopic group included more incisional hernias (68% vs 62%, p < 0.001) and similar rates of recurrent hernias (23% vs 22%, p = 0.26). A total of 109 bowel injuries were identified, with more occurring in the laparoscopic group (55 [1.3%] laparoscopic vs. 54 [0.8%] robotic; p = 0.01). Specifically, there were more full-thickness and missed enterotomies in the laparoscopic group (29 laparoscopic vs. 20 robotic; p = 0.012). Bowel injury resulted in higher rates of wound morbidity and major post-operative complications including sepsis, re-admission, and re-operation. Following adjustment for recurrent and incisional hernias, prior mesh, patient age, and hernia width, bowel injury during laparoscopic repair remained significantly more likely than bowel injury during robotic repair (OR 1.669 [95% C.I.: 1.141-2.440]; p = 0.008). In a large registry, laparoscopic ventral hernia repair is associated with an increased risk of bowel injury compared to repairs utilizing the robotic platform. Knowing the limitations of retrospective research, large national registries are well suited to explore rare outcomes which cannot be feasibly assessed with randomized controlled trials.
Identifiants
pubmed: 35094158
doi: 10.1007/s10029-022-02564-3
pii: 10.1007/s10029-022-02564-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1251-1258Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Davies SW, Turza KC, Sawyer RG, Schirmer BD, Hallowell PT (2012) A comparative analysis between laparoscopic and open ventral hernia repair at a tertiary care center. Am Surg 78(8):888–892
doi: 10.1177/000313481207800825
Jin J, Rosen MJ (2008) Laparoscopic versus open ventral hernia repair. Surg Clin North Am 88(5):1083–1100. https://doi.org/10.1016/j.suc.2008.05.015
doi: 10.1016/j.suc.2008.05.015
pubmed: 18790156
Beldi G, Ipaktchi R, Wagner M, Gloor B, Candinas D (2006) Laparoscopic ventral hernia repair is safe and cost effective. Surg Endosc 20(1):92–95. https://doi.org/10.1007/s00464-005-0442-9
doi: 10.1007/s00464-005-0442-9
pubmed: 16333538
Olmi S, Scaini A, Cesana GC, Erba L, Croce E (2007) Laparoscopic versus open incisional hernia repair. Surg Endosc 21(4):555–559. https://doi.org/10.1007/s00464-007-9229-5
doi: 10.1007/s00464-007-9229-5
pubmed: 17364151
Misiakos EP, Machairas A, Patapis P, Liakakos T (2020) Laparoscopic ventral hernia repair: pros and cons compared with open hernia repair. JSLS J Soc Laparoendosc Surgeons. 12(2):117–125
Lomanto D, Iyer SG, Shabbir A, Cheah WK (2006) Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc 20(7):1030–1035. https://doi.org/10.1007/s00464-005-0554-2
doi: 10.1007/s00464-005-0554-2
pubmed: 16703430
Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Datab Syst Rev. https://doi.org/10.1002/14651858.CD007781.pub2
doi: 10.1002/14651858.CD007781.pub2
Itani KMF (2010) Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia. Arch Surg 145(4):322. https://doi.org/10.1001/archsurg.2010.18
doi: 10.1001/archsurg.2010.18
pubmed: 20404280
Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias. Ann Surg 238(3):391–400. https://doi.org/10.1097/01.sla.0000086662.49499.ab
doi: 10.1097/01.sla.0000086662.49499.ab
pubmed: 14501505
pmcid: 1422707
Sheetz KH, Claflin J, Dimick JB (2020) Trends in the adoption of robotic surgery for common surgical procedures. JAMA Netw Open 3(1):e1918911. https://doi.org/10.1001/jamanetworkopen.2019.18911
doi: 10.1001/jamanetworkopen.2019.18911
pubmed: 31922557
pmcid: 6991252
Intuitive Surgical, Inc (2018) Annual Report
Martens TP, Morgan JA, Hefti MM et al (2005) Adhesiolysis is facilitated by robotic technology in reoperative cardiac surgery. Ann Thorac Surg 80(3):1103–1105. https://doi.org/10.1016/j.athoracsur.2004.03.023
doi: 10.1016/j.athoracsur.2004.03.023
pubmed: 16122499
Olavarria OA, Bernardi K, Shah SK et al (2020) Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial. BMJ 2020:m2457. https://doi.org/10.1136/bmj.m2457
doi: 10.1136/bmj.m2457
Poulose BK, Roll S, Murphy JW et al (2016) Design and implementation of the Americas Hernia Society Quality Collaborative (AHSQC): improving value in hernia care. Hernia 20(2):177–189. https://doi.org/10.1007/s10029-016-1477-7
doi: 10.1007/s10029-016-1477-7
pubmed: 26936373
Muysoms FE, Miserez M, Berrevoet F et al (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13(4):407–414. https://doi.org/10.1007/s10029-009-0518-x
doi: 10.1007/s10029-009-0518-x
pubmed: 19495920
pmcid: 2719726
Krpata DM, Prabhu AS, Tastaldi L, Huang LC, Rosen MJ, Poulose BK (2018) Impact of inadvertent enterotomy on short-term outcomes after ventral hernia repair: an AHSQC analysis. Surgery 164(2):327–332. https://doi.org/10.1016/j.surg.2018.04.003
doi: 10.1016/j.surg.2018.04.003
pubmed: 29843910
Sharma A, Khullar R, Soni V et al (2013) Iatrogenic enterotomy in laparoscopic ventral/incisional hernia repair: a single center experience of 2,346 patients over 17 years. Hernia 17(5):581–587. https://doi.org/10.1007/s10029-013-1122-7
doi: 10.1007/s10029-013-1122-7
pubmed: 23771414
ten Broek RPG, Schreinemacher MHF, Jilesen APJ, Bouvy N, Bleichrodt RP, van Goor H (2012) Enterotomy risk in abdominal wall repair. Ann Surg 256(2):280–287. https://doi.org/10.1097/SLA.0b013e31826029a8
doi: 10.1097/SLA.0b013e31826029a8
pubmed: 22791104
LeBlanc KA, Elieson MJ, Corder JM (2020) Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS J Soc Laparoendosc Surgeons. 11(4):408–414
Fuenmayor P, Lujan HJ, Plasencia G, Karmaker A, Mata W, Vecin N (2020) Robotic-assisted ventral and incisional hernia repair with hernia defect closure and intraperitoneal onlay mesh (IPOM) experience. J Robot Surg 14(5):695–701. https://doi.org/10.1007/s11701-019-01040-y
doi: 10.1007/s11701-019-01040-y
pubmed: 31897967
Köckerling F, Simon T, Adolf D et al (2019) Laparoscopic IPOM versus open sublay technique for elective incisional hernia repair: a registry-based, propensity score-matched comparison of 9907 patients. Surg Endosc 33(10):3361–3369. https://doi.org/10.1007/s00464-018-06629-2
doi: 10.1007/s00464-018-06629-2
pubmed: 30604264
pmcid: 6722046
Prabhu AS, Dickens EO, Copper CM et al (2017) Laparoscopic vs robotic intraperitoneal mesh repair for incisional hernia: an Americas Hernia Society quality collaborative analysis. J Am Coll Surg 225(2):285–293. https://doi.org/10.1016/j.jamcollsurg.2017.04.011
doi: 10.1016/j.jamcollsurg.2017.04.011
pubmed: 28450062
Petro CC, Zolin S, Krpata D et al (2020) Patient-reported outcomes of robotic vs laparoscopic ventral hernia repair with intraperitoneal mesh: the PROVE-IT randomized controlled trial. JAMA Surg. https://doi.org/10.1001/jamasurg.2020.4569
doi: 10.1001/jamasurg.2020.4569
pmcid: 7578919
Warren JA, Cobb WS, Ewing JA, Carbonell AM (2017) Standard laparoscopic versus robotic retromuscular ventral hernia repair. Surg Endosc 31(1):324–332. https://doi.org/10.1007/s00464-016-4975-x
doi: 10.1007/s00464-016-4975-x
pubmed: 27287903
Llarena NC, Shah AB, Milad MP (2015) Bowel injury in gynecologic laparoscopy. Obstet Gynecol 125(6):1407–1417. https://doi.org/10.1097/AOG.0000000000000855
doi: 10.1097/AOG.0000000000000855
pubmed: 26000512
Picerno T, Sloan NL, Escobar P, Ramirez PT (2017) Bowel injury in robotic gynecologic surgery: risk factors and management options. A systematic review. Am J Obstetr Gynecol 216(1):10–26. https://doi.org/10.1016/j.ajog.2016.08.040
doi: 10.1016/j.ajog.2016.08.040
Aarts JW, Nieboer TE, Johnson N et al (2015) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Datab Syst Rev. https://doi.org/10.1002/14651858.CD003677.pub5
doi: 10.1002/14651858.CD003677.pub5
Lawrie TA, Liu H, Lu D et al (2019) Robot-assisted surgery in gynaecology. Cochrane Datab Syst Rev. https://doi.org/10.1002/14651858.CD011422.pub2
doi: 10.1002/14651858.CD011422.pub2
Karadag MA, Cecen K, Demir A, Bagcioglu M, Kocaaslan R, Kadioglu TC (2015) Gastrointestinal complications of laparoscopic/robot-assisted urologic surgery and a review of the literature. J Clin Med Res 7(4):203–210. https://doi.org/10.14740/jocmr2090w
doi: 10.14740/jocmr2090w
pubmed: 25699115
pmcid: 4330011
Trinh BB, Jackson NR, Hauch AT, Hu T, Kandil E (2014) Robotic versus laparoscopic colorectal surgery. JSLS J Soc Laparoendosc Surgeons. 18(4):e2014.00187. https://doi.org/10.4293/JSLS.2014.00187
doi: 10.4293/JSLS.2014.00187
D’Annibale A, Morpurgo E, Fiscon V et al (2004) Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum 47(12):2162–2168. https://doi.org/10.1007/s10350-004-0711-z
doi: 10.1007/s10350-004-0711-z
pubmed: 15657669
Rawlings AL, Woodland JH, Vegunta RK, Crawford DL (2007) Robotic versus laparoscopic colectomy. Surg Endosc 21(10):1701–1708. https://doi.org/10.1007/s00464-007-9231-y
doi: 10.1007/s00464-007-9231-y
pubmed: 17353988
Dhanani NH, Olavarria OA, Holihan JL et al (2021) Robotic versus laparoscopic ventral hernia repair. Ann Surg 273(6):1076–1080. https://doi.org/10.1097/SLA.0000000000004795
doi: 10.1097/SLA.0000000000004795
pubmed: 33630447
Bishoff JT, Allaf ME, Kirkels W, Moore RG, Kavoussi LR, Schroder F (1999) Laparoscopic bowel injury: incidence and clinical presentation. J Urol 161(3):887–890. https://doi.org/10.1016/S0022-5347(01)61797-X
doi: 10.1016/S0022-5347(01)61797-X
pubmed: 10022706
Pocock SJ, Stone GW (2016) The primary outcome fails—what next? N Engl J Med 375(9):861–870. https://doi.org/10.1056/NEJMra1510064
doi: 10.1056/NEJMra1510064
pubmed: 27579636
Zolin SJ, Petro CC, Prabhu AS et al (2020) Registry-based randomized controlled trials: a new paradigm for surgical research. J Surg Res 255:428–435. https://doi.org/10.1016/j.jss.2020.05.069
doi: 10.1016/j.jss.2020.05.069
pubmed: 32619857
Chapman SJ, Shelton B, Mahmood H, Fitzgerald JE, Harrison EM, Bhangu A (2014) Discontinuation and non-publication of surgical randomised controlled trials: observational study. BMJ 349(dec09 1):g6870. https://doi.org/10.1136/bmj.g6870