Current applications and research advances of robotic surgery in hernia surgery

Robotic surgery represents a significant technological advancement in the field of minimally invasive surgery. Leveraging advantages such as precise operational performance, superior instrument flexibility, and high‑definition three‑dimensional imaging, it has opened up new avenues for the treatment of hernias. Research indicates that robotic‑assisted hernia repair offers unique value in reducing complication rates, optimizing fine motor control, and accelerating post-operative recovery, while showing no significant difference in hernia recurrence rates compared to traditional open surgery or laparoscopic surgery. The costs of robotic surgery vary depending on the type of hernia. However, with the reduction in the cost of domestically produced robotic equipment and improvements in surgical techniques, the overall cost of robotic hernia repair is expected to decrease significantly, making its cost advantage more pronounced in the clinical application of complex hernias. The authors provide a comprehensive overview of the technical principles and classification characteristics of robotic surgery, with a focus on its clinical application, efficacy, and technical advantages in conditions such as inguinal hernia, ventral hernia, pelvic floor hernia, paras-tomal hernia, and hiatal hernia. They also discuss the clinical application of domestically developed robotic surgical systems in hernia repair, advancements in remote surgical techniques, and the estab-lishment of standardized training models.This article aims to provide evidence‑based guidance for clinical practice and future research in hernia surgery, promote the development of the discipline toward intelligence and precision, and enhance the accessibility of this technology.