AimThe development of robotic assistance has made dissection and suturing in the deep pelvis much easier. The augmented quality of the images and the articulation of the robotic arms have also enabled a more precise dissection. The aim of this study is to present the data on robotic‐assisted ventral mesh rectopexy procedures in a university hospital and examine the literature in terms of mesh erosion.MethodThe electronic databases Pubmed, Embase and Cochrane were searched. Studies from January 2004 until January 2023 in the English language were included. Studies which included fewer than 10 patients were excluded. Laparoscopic or robotic‐assisted ventral mesh rectopexies were included. Mesh erosion rates following laparoscopic or robotic‐assisted ventral mesh rectopexies were measured.ResultsOverall, the systematic review presents 5911 patients from 43 studies who underwent laparoscopic ventral mesh rectopexy compared with 746 patients treated with robotic‐assisted ventral mesh rectopexy from six studies and our centre. Mesh erosion was rare in both groups; however, the prevalence was greater in the laparoscopy group (0.90% vs. 0.27%).ConclusionThe mesh erosion rates are very low with robotic‐assisted ventral mesh rectopexy. For precise results, more studies and experience in robotic surgery are required.

中文翻译：

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机器人辅助手术能否减少腹侧网片直肠固定术后与网片相关的并发症？三级中心的经验和文献的系统回顾

目的机器人辅助的发展使骨盆深处的解剖和缝合变得更加容易。图像质量的增强和机械臂的铰接也使得解剖更加精确。本研究的目的是展示大学医院机器人辅助腹侧网片直肠固定术的数据，并检查网片侵蚀方面的文献。方法检索电子数据库 Pubmed、Embase 和 Cochrane。包括 2004 年 1 月至 2023 年 1 月的英语研究。纳入少于 10 名患者的研究被排除在外。包括腹腔镜或机器人辅助的腹侧网状直肠固定术。测量了腹腔镜或机器人辅助腹侧网片直肠固定术后的网片侵蚀率。结果总体而言，系统评价显示了 43 项研究中接受腹腔镜腹侧网片直肠固定术的 5911 名患者，与来​​自 6 项研究和我们中心的 746 名接受机器人辅助腹侧网片直肠固定术的患者进行了比较。两组中的网状侵蚀都很罕见；然而，腹腔镜组的患病率更高（0.90% vs. 0.27%）。 结论 机器人辅助腹侧网片直肠固定术的网片侵蚀率非常低。为了获得精确的结果，需要更多的机器人手术研究和经验。