Robotic paraesophageal hernia repair: a single-center experience and systematic review

被引：30

作者：

Vasudevan V. ^{[1
]}

Reusche R. ^{[2
]}

Nelson E. ^{[2
]}

Kaza S. ^{[1
]}

机构：

[1] Department of Surgery, University of Miami Miller School of Medicine Palm Beach Regional Campus, 5301 S congress Ave, Atlantis, 33462, FL

[2] Department of Surgery, Mayo Clinic, 200 1st st SW, Rochester, 55905, MN

来源：

Journal of Robotic Surgery | 2018年 / 12卷 / 1期

关键词：

Minimally invasive; Paraesophageal hernia; Paraesophageal hernia repair; Robotic paraesophageal hernia; Robotic surgery;

D O I：

10.1007/s11701-017-0697-x

中图分类号：

学科分类号：

摘要：

Robotic Surgery is becoming increasingly used in general surgery. The objective of this study is to evaluate the safety, effectiveness and short-term (less than 1 year) outcomes of Robotic Paraesophageal Hernia (RPEH) Surgery using the DaVinci Surgical Robot system (Intuitive Surgical, CA) in a large community hospital. This is a retrospective cohort study of 28 consecutive patients who underwent robotic paraesophageal hernia repair January 2011–March 2013 in this institution. Data and outcomes collected for analysis include patient demographics, operating times, conversion, complications, mortality and recurrence. The mean age of the patients was 68.7 +/− 12.7 years, 82% were females and the mean BMI was 29 +/− 6.3. The mean operative time, including the robot docking time, was 83.6 + 24 min. The average length of hospital stay (LOS) was 2.8 +/− 1.9 days. There were no conversions to open or laparoscopic procedures. Postoperative complications were noted in 3 patients (10.7%), including one mortality (3.4%). One symptomatic recurrence (3.4%) was noted during the 12-month follow-up period. Robotic Paraesophageal repair is a safe (similar rate of complication and mortality to literature for laparoscopic procedure) and an effective (paraeshopageal hernia repaired without high recurrence) procedure with acceptable complication rates even in older patients with high operative risks. © 2017, Springer-Verlag London.

引用

页码：81 / 86

页数：5

共 19 条

[1]

Andujar J.J., Papasavas P.K., Birdas T., Et al., Laparoscopic repair of large paraesophageal hernia is associated with a low incidence of recurrence and reoperation, Surg Endosc, 18, pp. 444-447, (2004)

[2]

Oelschlager B.K., Petersen R.P., Brunt L.M., Et al., Laparoscopic paraesophageal hernia repair: defining long-term clinical and anatomic outcomes, J Gastrointest Surg, 16, 3, pp. 453-459, (2012)

[3]

Stylopoulos N., Gazelle G.S., Rattner D.W., Paraesophageal hernias: operation or observation?, Ann Surg, 236, 4, pp. 492-500, (2002)

[4]

Nguyen N.T., Christie C., Masoomi H., Et al., Utilization and outcomes of laparoscopic versus open paraesophageal hernia repair, Am Surg, 77, 10, pp. 1353-1357, (2011)

[5]

Ballantyne G.H., The pitfalls of laparoscopic surgery: challenges for robotics and telerobotic surgery, Surg Laparosc Endosc Percutan Tech, 12, 1, pp. 1-5, (2002)

[6]

Zureikat A.H., Moser A.J., Boone B.A., Et al., 250 robotic pancreatic resections: safety and feasibility, Ann Surg, 258, 4, pp. 554-562, (2013)

[7]

Hyun M.H., Lee C.H., Kwon Y.J., Et al., Robot versus laparoscopic gastrectomy for cancer by an experienced surgeon: comparisons of surgery, complications, and surgical stress, Ann Surg Oncol, 20, 4, pp. 1258-1265, (2013)

[8]

Gehrig T., Mehrabi A., Fischer L., Et al., Robotic-assisted paraesophageal hernia repair: a case–control study, Langenbecks Arch Surg, 398, 5, pp. 691-696, (2013)

[9]

Braumann C., Jacobi C.A., Menenakos C., Et al., Robotic-assisted laparoscopic and thoracoscopic surgery with the da Vinci system: a 4-year experience in a single institution, Surg Laparosc Endosc Percutan Tech, 18, 3, pp. 260-266, (2008)

[10]

Draaisma W.A., Gooszen H.G., Consten E.C., Broeders I.A., Mid-term results of robot-assisted laparoscopic repair of large hiatal hernia: a symptomatic and radiological prospective cohort study, Surg Technol Int, 17, pp. 165-170, (2008)

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