文献类型：期刊文献

英文题名：Comparative outcomes of Toumai robotic and laparoscopic transabdominal preperitoneal inguinal hernia repair in a retrospective cohort

作者：Wang, Yongjin[1];Guo, Chengwang[3,7];Zhang, Mingze[2,3];Guo, Xi[2,3];Yang, Guoyuan[4];Song, Houji[3];Nie, Peng[1];Ma, Yuntao[2,3,5,6]

第一作者：Wang, Yongjin

通信作者：Nie, P[1];Ma, YT[2];Ma, YT[3];Ma, YT[4];Ma, YT[5]

机构：[1]Gansu Wuwei Tumor Hosp, Dept Gastr Tumor Surg, Wuwei 733000, Peoples R China;[2]Gansu Prov Hosp, Dept Gen Surg, Lanzhou 730000, Peoples R China;[3]Gansu Univ Tradit Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China;[4]Linxia State Hosp, Linxia 730400, Peoples R China;[5]Gansu Prov Hosp, NHC Key Lab Diag & Therapy Gastrointestinal Tumor, Lanzhou, Peoples R China;[6]Gansu Prov Hosp, Key Lab Mol Diagnost & Precis Med Surg Oncol Gansu, Lanzhou, Peoples R China;[7]Mianyang 404 Hosp, Dept Gen Surg, Mianyang 621000, Peoples R China

第一机构：Gansu Wuwei Tumor Hosp, Dept Gastr Tumor Surg, Wuwei 733000, Peoples R China

通信机构：[1]corresponding author), Gansu Wuwei Tumor Hosp, Dept Gastr Tumor Surg, Wuwei 733000, Peoples R China;[2]corresponding author), Gansu Prov Hosp, Dept Gen Surg, Lanzhou 730000, Peoples R China;[3]corresponding author), Gansu Univ Tradit Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China;[4]corresponding author), Gansu Prov Hosp, NHC Key Lab Diag & Therapy Gastrointestinal Tumor, Lanzhou, Peoples R China;[5]corresponding author), Gansu Prov Hosp, Key Lab Mol Diagnost & Precis Med Surg Oncol Gansu, Lanzhou, Peoples R China.|[10735]甘肃中医药大学;

年份：2026

卷号：16

期号：1

外文期刊名：SCIENTIFIC REPORTS

收录：;Scopus(收录号：2-s2.0-105033667107);WOS:【SCI-EXPANDED(收录号:WOS:001717416000015)】；

基金：This research was funded by Gansu Provincial Science and Technology Plan (Joint Scientific Research Fund) Project (24JRRA885); Natural Science Foundation of Gansu Province funding project (22JR5RA663); Research Project of Gansu Provincial Hospital (2024KYQDJ-A-14); Wuwei Gastric Cancer Clinical Medical Research Center (2023LC5011). The APC was funded by Gansu Provincial Science and Technology Plan (Joint Scientific Research Fund) Project (24JRRA885) and Wuwei Gastric Cancer Clinical Medical Research Center (2023LC5011).

语种：英文

外文关键词：Inguinal hernia repair; Toumai surgical robot; Robotic surgery; Laparoscopic surgery; Analysis of efficacy

摘要：To compare the clinical efficacy of the "Toumai" surgical robot and conventional laparoscopic inguinal hernia repair in order to inform surgical practice. A retrospective analysis was conducted on clinical data from 50 patients who underwent inguinal hernia repair at the Department of General Surgery, Gansu Provincial Hospital, between January 2022 and October 2023. Among them, 16 patients received robot-assisted repair (robotic group), and 34 underwent conventional laparoscopic repair (laparoscopic group), all via the transabdominal preperitoneal approach. Evaluation indicators included: (1) preoperative baseline characteristics; (2) intraoperative and postoperative outcomes; and (3) postoperative incision healing and adverse events. Outpatient follow-up and clinical re-examination were conducted 1 to 3 months after surgery to assess wound recovery and recurrence. Continuous variables were expressed as mean +/- standard deviation or median (M), and analyzed using the t-test; categorical data were compared using the chi-square test. There were no significant differences in baseline characteristics between the robot-assisted and laparoscopic groups, including sex ratio, age, weight, and hernia classification (P > 0.05). Intraoperatively and postoperatively, the robot group had a significantly longer operative time (104.19 +/- 18.93 min vs. 90.17 +/- 22.31 min), but demonstrated significantly less blood loss (6.94 +/- 3.80 mL vs. 12.24 +/- 9.31 mL), shorter hospital stay (3.18 +/- 0.54 vs. 3.68 +/- 0.81 days), lower pain scores (2.06 +/- 0.93 vs. 3.03 +/- 1.29), and reduced Subjective Mental Load Scale scores (18.12 +/- 12.23 vs. 30.17 +/- 11.46) compared to the laparoscopic group (all P < 0.05). No intraoperative complications were observed in either group. Follow-up results showed that postoperative recurrence occurred in 1 case in the robot group and 2 cases in the laparoscopic group. Poor incision healing occurred in 0 and 3 cases, and incision pain in 1 and 4 cases, respectively. In this retrospective cohort, Toumai robot-assisted repair was associated with lower estimated blood loss, lower postoperative pain scores, and shorter length of stay, but longer operative time, compared with laparoscopic repair.