Computer-Enhanced vs. Standard Laparoscopic Antireflux Surgery

Melvin, W. Scott; Needleman, Bradley J.; Krause, Kevin R.; Schneider, C.; Ellison, E. Christopher

doi:10.1016/s1091-255x(01)00032-4

Cited by 124 publications

(125 citation statements)

References 8 publications

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“…The published literature reports a perioperative complication average of 7.3% (0 -24) for robotic Nissen fundoplication patients [4][5][6][7][8][9][10][11][12][13], 6.4% (3 -13) for esophagomyotomy patients [16][17][18][19], and 15% (0 -31) for hiatal hernia repair patients [19][20][21]. Our series had similar results with 7% of Nissen fundoplication patients, 15% of esophagomyotomy patients, and 11% of hiatal hernia repair patients experiencing perioperative complications.…”

Section: Comparison Of Results To Published Literature Complicationssupporting

confidence: 77%

“…The mean TCT in the robotic Nissen fundoplication literature ranges from 65 -207 minutes [4][5][6][7][8][9][10][11][12][13]. Our mean TCT was 173 minutes, which is within that range but on the higher end.…”

Section: Total Case Timesupporting

confidence: 53%

“…The published literature reports a conversion rate average of 2.9% (0 -9) for Nissen fundoplication patients [4][5][6][7][8][9][10][11][12][13], 3.4% (0 -12.5) for esophagomyotomy patients [16,17,19], and 6.6% (0 -10.5) for hiatal hernia repair patients [19][20][21]. Of these, all of the Nissen fundoplication conversions were to laparoscopy, while all of the hiatal hernia conversions were to laparotomy.…”

Section: Conversionsmentioning

confidence: 99%

“…(1 -7.2) days for robotic Nissen fundoplication patients [4][5][6][7][8][9][10][11][12][13], 2.4 (1.5 -4) days for esophagomyotomy patients [8,[14][15][16][17][18], and 5 days for hiatal hernia repair patients [19][20][21]. Our series had a shorter LOS for all groups with a mean LOS of 1.7 days for all three procedures combined, 1.7 days for the Nissen fundoplication group, 1.2 days for the esophagomyotomy group, and 2.3 days for the hiatal hernia repair group.…”

Section: Length Of Staymentioning

confidence: 99%

“…Of the robotic Nissen fundoplication studies, Hartmann et al [5] had an average LOS of 4.2 (2 -10) days for 118 patients, Draaisma et al [10] had an average LOS of 3 (2-6) days for 25 patients, and Melvin et al [12] had an average LOS of 1.1 (1 -2) days for 20 patients. Of the robotic esophagomyotomy studies, Melvin et al [17] had an average LOS of 1.5 days for 104 patients, Horgan et al [18] had an average LOS of 1.5 (0.8 -4) days for 59 patients, and Ruurda et al [19] had an average LOS of 4 (2 -6) days for 24 patients.…”

Section: Length Of Staymentioning

confidence: 99%

See 4 more Smart Citations

Robotic Foregut Surgery: One Surgeon’s Experience with Nissen Fundoplication, Esophagomyotomy, and Hiatal Hernia Repair

Huettner¹,

Alley²,

Doubet³

et al. 2012

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Purpose: The purpose of the study was to review a single surgeon, seven-year experience, using the Da Vinci Telerobotic system performing 124 foregut operations. min, median LOS 1 (1 -14) day, complication rate 11.1% (3/27), conversion rate 3.7%, resident involvement 66.7% (18/27). Conclusion: Robotic-assisted foregut surgery is safe and effective. This series compares favorably with other robotic studies in length of hospital stay, total case time, and complication and conversion rates. Foregut surgery is an excellent robotic training ground for residents.

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Section: Comparison Of Results To Published Literature Complicationssupporting

confidence: 77%

Section: Total Case Timesupporting

confidence: 53%

Section: Conversionsmentioning

confidence: 99%

Section: Length Of Staymentioning

confidence: 99%

Section: Length Of Staymentioning

confidence: 99%

See 3 more Smart Citations

Robotic Foregut Surgery: One Surgeon’s Experience with Nissen Fundoplication, Esophagomyotomy, and Hiatal Hernia Repair

Huettner¹,

Alley²,

Doubet³

et al. 2012

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Totally Robotic Roux-en-Y Gastric Bypass

2005

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We hypothesized that we could develop a safe and effective technique for performing a totally robotic laparoscopic Roux-en-Y gastric bypass procedure using the da Vinci surgical system. We anticipated that the learning curve for this totally robotic procedure could be shorter than the learning curve for standard laparoscopic bariatric surgery. Design: Retrospective case comparison study. Setting: Academic tertiary care center. Patients: Consecutive samples of patients who met National Institutes of Health (NIH) criteria for morbid obesity and who completed the Stanford Bariatric Surgery Program evaluation process. Intervention: A port placement and robot positioning scheme was developed so that the entire case could be performed robotically. The first 10 patients who underwent a totally robotic laparoscopic Roux-en-Y gastric bypass were compared with a retrospective sample of 10 patients who had undergone laparoscopic Roux-en-Y gastric bypass surgery. Main Outcome Measures: Patient age, gender, body mass index (BMI), numbers of NIH-defined comorbidities, operative time, length of stay, and complications. Results: No significant differences existed between the 2 patient series with regard to age, gender, or BMI. The median surgical times were significantly lower for the robotic procedures (169 vs 208 minutes; P =.03), as was the ratio of procedure time to BMI (3.8 vs 5.0 minutes per BMI for the laparoscopic cases; P =.04). Conclusions: This study details the first report, to our knowledge, of a totally robotic laparoscopic Roux-en-Y gastric bypass and demonstrates the feasibility, safety, and potential superiority of such a procedure. In addition, the learning curve may be significantly shorter with the robotic procedure. Further experience is needed to understand the long-term advantages and disadvantages of the totally robotic approach.

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Technology in the Operating Suite

Talamini¹

2005

JAMA

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Computer-Enhanced vs. Standard Laparoscopic Antireflux Surgery

Cited by 124 publications

References 8 publications

Robotic Foregut Surgery: One Surgeon’s Experience with Nissen Fundoplication, Esophagomyotomy, and Hiatal Hernia Repair

Robotic Foregut Surgery: One Surgeon’s Experience with Nissen Fundoplication, Esophagomyotomy, and Hiatal Hernia Repair

Totally Robotic Roux-en-Y Gastric Bypass

Technology in the Operating Suite

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