在機器人手臂輔助根治性前列腺切除手術同時進行腹股溝疝氣修補：單一醫院經驗

陳孟賢、姜秉均¹、廖俊厚¹

天主教耕莘醫療財團法人耕莘醫院 外科部 泌尿外科

Simultaneous Repair of Inguinal Hernias During

Robotic-assisted Radical Prostatectomy: A Single Hospital Experience

Meng-Hsien Chen, Bing-Juin Chiang¹, Chun-Hou Liao¹

¹Division of Urology, Department of Surgery, Cardinal Tien Hospital, Fu Jen Catholic University, New Taipei City, Taiwan

Purpose:

We hypothesized that concurrent hernia repair and RARP would not be different from RARP alone in blood loss, length of hospital stay, or postoperative complications.

Materials and Methods:

We investigated 101 consecutive robotic-assisted radical prostatectomy performed by two surgeons between Dec. 2021 and July 2024. Pre-, peri- and postoperative patient characteristics were recorded. We compared RARP alone with concurrent inguinal hernia repair patients.

Results:

A total of 37 patients received RARP with concurrent hernia repair, 25(67.5%) of which underwent bilateral repair. Of the 12 patients undergoing unilateral repair, 7(18.9%) underwent left-sided repair, and 5 (13.5%) underwent right-sided repair. 3(8.1%) patients, 2 with right indirect hernia and 1 with right direct showed recurrence and receive further operation.

The only significant parameter when analyzing time to full diet(3 days as cut point) was console time(p=.007), with mean operative time in cases ≤ 3 days was 174.65±49.13 mins, which cases > 3 days was 209.82±65.26mins.

Conclusion:

Inguinal hernias are a common intraoperative finding during RARP. Concurrent repair appears safe and effective with no increase in morbidity.