OC-017 Robotic abdominal wall program surgery: Initial experience of our first 101 cases

Abstract

Abstract Aim Minimally invasive surgery in abdominal wall had spread exponentially in the last decade, specially with the robotic surgery appearance. In our hospital, the Abdominal Wall Unit started the robotic program in 2019. The experience of our team in laparoscopic surgery allowed us to introduce the robotic surgery in complex abdominal wall pathologies. The aim of this study is to describe our experience of the progressive evolution that we had in our first 101 cases Material and Methods Patients with ventral/incisional hernias with medium and high complexity with no loss of domain, parastomal and inguinal hernias. The surgeries were performed by X or Xi DaVinci robotic platform. Result 101 patients (115 surgeries) were considered in our study. All of them underwent robotic abdominal wall surgery. Women were 46 (45,5%) and men 55 (54,5%). The mean IBM was 34 (±3,7). The main hernia was in the midline: 53 (52,5%), the more frequent techniques were eTEP 32 (31,7%), RoboTAR (intrabdominal transversus abdominis muscle release) 19 (18,8%), bilateral inguinal TAPP 16 (15,9%) and Pauli 15 (14,9%). Also, we performed 11(10,9%) patients with our protocol with botulinum toxin called Robotox decreasing the TAR procedure. The RoboTAR had the most operating time mean: 315 min (260–350) while eTEP had 225 min (180–269). 4 (3,9%) patients had a recurrence with a follow-up of 26 months (3–37). Conclusion The implementation of a robotic program in an abdominal wall surgery unit is possible but it is necessary to standarize a training program to improve progressively the skills.