To evaluate the feasibility, safety, and short-term outcomes of robotic-assisted resection of abdominal wall tumors confined to the musculofascial layer, highlighting its significance compared to traditional methods.
Key Findings:
Five patients included (80% female), mean age 56.8 years, mean BMI 21.8 kg/m2.
All tumors confined to the musculofascial layer; R0 resection achieved in all cases.
Four patients underwent mesh-based reconstruction; mean operative time was 144 minutes; mean hospital stay was 3.4 days.
No intraoperative or postoperative complications reported; no hernia or tumor recurrence during short-term follow-up.
Interpretation:
Robotic-assisted resection is a safe and feasible minimally invasive approach for abdominal wall tumors, with promising short-term outcomes that could influence future surgical practices.
Limitations:
Small sample size limits generalizability.
Lack of a comparative cohort for open surgery.
Potential biases inherent in retrospective studies.
Conclusion:
Robotic-assisted resection with or without mesh reconstruction is a viable option for abdominal wall tumors, warranting further studies with larger cohorts to validate these findings.
by Johannes Maria Alberto Toti, Ramon Pini, Sebastiano Spampatti, Lorenzo Bernardi, Barbara Kopf, Francesco Mongelli, Fabio Garofalo, Fabiano Iaquinandi, Davide La Regina
