No relevant difference in quality of life and functional outcome at 12 months’ follow-up—a randomised controlled trial comparing robot-assisted versus conventional laparoscopic Nissen fundoplication

Abstract

The present study did not show any benefit for RALF over CLF regarding QOL and functional outcome at 12 months' follow-up.

Whether robot-assisted laparoscopic fundoplication is better for gastroesophageal reflux disease in adults: a systematic review and meta-analysis

“…Morino et al [32] reported that ''computer-generated random numbers'' and ''sealed opaque envelopes'' were used. Muller-Stich et al [27,30] provided methodological information that ''only patients were blinded'' from the full text, and via email they stated: ''We performed a computer randomization with differing block sizes. The conceal allocation was with envelopes.…”

“…A few studies were excluded from meta-analysis of different outcomes for the following reasons: only satisfaction scores of physician and nurse between HER-MES-assisted and non-HERMES-assisted laparoscopic antireflux surgery were evaluated by Luketich et al [25], median data without range value were given [26], and only outcomes of midterm follow-up were provided [27].…”

“…Complication after surgery was reported in six publications [15,26,27,[31][32][33]. Muller-Stich et al [30] described only Table 4.…”

Robotic Hiatal Hernia Repair

“…Single-incision surgery may prove to give an additional beneit to the use of robotics in surgery by providing steady threedimensional image and intuitive instrumentation through a single 2.5 cm incision. Results of robotic fundoplication have been promising from numerous studies [9][10][11][12][13][14][15]; but up to now, supporters failed to publish an evidence-based proof of its superiority versus existing laparoscopic techniques [16][17][18].…”

Robotic technological aids in esophageal surgery

“…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).…”