Evaluation of da Vinci Nissen Fundoplication Clinical Results and Cost Minimization

Nakadi, Issam El; Mélot, Christian; Closset, Jean; Demoor, V.; Betroune, K.; Feron, Pascale; Lingier, Pierre; Gelin, Michel

doi:10.1007/s00268-005-7950-6

Cited by 114 publications

(141 citation statements)

References 16 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: 73%

“…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 Timementioning

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%

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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: 73%

Section: Total Case Timementioning

confidence: 53%

Section: Conversionsmentioning

confidence: 99%

Section: Length Of Staymentioning

confidence: 99%

See 2 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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show abstract

“…Several studies [five prospective randomized controlled trials (RCTs)] have compared robotic and conventional laparoscopic total fundoplication for GERD (5)(6)(7)(8)(9). For instance, we randomized 50 GERD patients to robot-assisted fundoplication (n=25) or to standard laparoscopic fundoplication (n=25) (6).…”

Section: Robotic Fundoplication For Gerdmentioning

confidence: 99%

Robotic technological aids in esophageal surgery

2017

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Robotic technology is an emerging technology that has been developed in order to overcome some limitations of the standard laparoscopic approach, offering a stereoscopic three-dimensional visualization of the surgical field, increased maneuverability of the surgical tools with consequent increased movement accuracy and precision and improved ergonomics. It has been used for the surgical treatment of most benign esophageal disorders. More recently, it has been proposed also for patients with operable esophageal cancer. The current evidence shows that there are no real benefits of the robotic technology over conventional laparoscopy in patients undergoing a fundoplication for gastroesophageal reflux disease (GERD), hiatal closure for giant hiatal hernia, or Heller myotomy for achalasia. A few small studies suggest potential advantages in patients undergoing redo surgery for failed fundoplication or Heller myotomy, but large comparative studies are needed to better clarify the role of the robotic technology in these patients.Robot-assisted esophagectomy seems to be safe and effective in selected patients; however, there are no data showing superiority of this approach over both conventional laparoscopic and open surgery. The short-term and long-term oncologic results of ongoing randomized controlled trials (RCTs) are awaited to validate this approach for the treatment of esophageal cancer.

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Robotics May Overcome Technical Limitations of Single-Trocar Surgery

Allemann¹

2010

Arch Surg

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Use of the robotic platform allows the surgeon to select which hand will move which instrument. Inverting the control allows crossing of the instruments without any consequences to the surgeon. Moreover, this system offers instruments with multiple degrees of freedom. These factors could explain the clear improvement demonstrated in this study. As a result, robotics may play an essential part in the diffusion of STA surgery.

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Evaluation of da Vinci Nissen Fundoplication Clinical Results and Cost Minimization

Abstract: No clear advantage of using robotics in the Nissen procedure was observed. The procedure seems to be feasible and safe. The technique is limited because of unadapted instruments. The disadvantages are the high costs and prolonged operative time.

Cited by 114 publications

References 16 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

Robotic technological aids in esophageal surgery

Robotics May Overcome Technical Limitations of Single-Trocar Surgery

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