Roboterassistierte laparoskopische Cardiomyotomie

Abstract

Laparoscopic cardiomyotomy is the first standard laparoscopic operation where a clear advantage for use of an operation robot has been proven. Thus, wherever an operation robot is available it should be used for this procedure.

Robot‐assisted oesophageal and gastric surgery for benign disease: antireflux operations and Heller's myotomy

“…As shown in Figure , a total of 20 articles have reported on robotic Heller's myotomy for the treatment of achalasia . All are either case series ( n = 17) or case reports ( n = 3) .…”

Robot-assisted Heller’s myotomy for achalasia in children

“…[4] There are several treatment options including oral medications, botulinum toxin injection to the lower esophageal sphincter, pneumatic or mechanical esophageal dilatation and endoscopic or surgical myotomy. [2][3][4][5] Controversy still exists concerning which treatment option is the best due to the rarity of the disease in children, the presence of multiple treatment modalities and a lack of randomized controlled studies in this age group. [12] Despite the lack of a definite conclusion, advances and refinements in laparoscopy in pediatrics, a low rate of complications, a high rate of success and faster recovery have shifted the treatment preference toward laparoscopic Heller's myotomy.…”

“…[14][15][16][17] Conventional two-dimensional laparoscopic procedures lack the flexibility of instruments and the highquality three-dimensional imaging that are facilitated by the robot, especially in a narrow operation field with the need for advanced intracorporeal suturing. [2,5] In addition to these advantages, robotic surgery provides motion scaling with the elimination of hand tremors. Precise high-definition imaging allows the surgeon to see all muscle fibers, which thus decreases the likelihood of mucosal perforation.…”

“…[1] Heller's myotomy remains the surgical treatment of choice for achalasia. [2] Surgical options include open surgery, laparoscopy and recently, a robotic approach. [2][3][4] Few case reports have been published on robotic-assisted Heller's myotomy in children.…”

“…[2] Surgical options include open surgery, laparoscopy and recently, a robotic approach. [2][3][4] Few case reports have been published on robotic-assisted Heller's myotomy in children. [5][6][7][8][9][10][11] The aim of this report is to describe our experience with robotic-assisted Heller's myotomy in children and to review the literature.…”