Evolving minimally invasive strategies for lumbar hernia repair: a video article comparing conventional laparoscopy, robotic surgery, and articulating laparoscopy
10.4174/astr.2025.109.4.278
- Author:
Ji Yeon MUN
1
;
Bong-Hyeon KYE
;
Nina YOO
Author Information
1. Department of Surgery, The Catholic University of Korea, St. Vincent’s Hospital, Seoul, Korea
- Publication Type:VIDEO ARTICLE
- From:Annals of Surgical Treatment and Research
2025;109(4):278-282
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Lumbar hernia repair presents unique surgical challenges due to its rarity and complex anatomical location.This study aimed to compare 3 minimally invasive surgical approaches for lumbar hernia repair: conventional laparoscopy, robotic surgery, and articulating laparoscopy.
Methods:Three patients diagnosed with lumbar hernia underwent repair via the transabdominal preperitoneal approach using different minimally invasive techniques. Each patient was treated with one of 3 approaches: conventional laparoscopy, robotic surgery, or articulating laparoscopic instruments. Clinical outcomes, operative details, and costs were analyzed.
Results:Each technique demonstrated distinct advantages: conventional laparoscopy offered familiarity, robotic surgery provided enhanced visualization and maneuverability, while articulating instruments presented a cost-effective alternative with improved range of motion.
Conclusion:Multiple minimally invasive approaches for lumbar hernia repair are feasible, each with unique benefits, allowing surgeons to choose based on resource availability and expertise.