Current status and progress of robotic parastomal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2025.02.007

Abstract

Abstract:

Parastomal hernia is one of the most common complications after ostomy.Surgical repair is the only way to cure parastomal hernia.Laparoscopic parastomal hernia repair is currently the most commonly used repair method.Robot-assisted laparoscopic surgery is a further development of laparoscopic surgery.The high-definition 3D surgical field and flexible joints of the robotic surgical system can perform more accurate operations than the laparoscopic system.It is suitable for parastomal hernia which is symptomatic or has impact on life quality.Common surgical methods include: Modified Sugarbaker repair, Keyhole repair, Extraperitoneal Sugarbaker repair, IPST mesh repair and Hybrid technique.Carrying out robotic parastomal hernia repair has to go through a certain learning curve, and its cost-benefit analysis shows that it has a wide range of application prospects in the treatment of parastomal hernia.This paper reviews the relevant domestic and foreign literature, and the current status and progress of robotic system in the treatment of parastomal hernia.

Key words: Robot-assisted, Parastomal hernia, Indication, Herniorrhaphy, IPST mesh, Learning curve

Baoshan Li, Yinlong Wang. Current status and progress of robotic parastomal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(02): 155-159.

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