Robotic-Assisted Heller Myotomy Versus Laparoscopic Heller Myotomy for the Treatment of Esophageal Achalasia: Multicenter Study

Horgan, Santiago; Galvani, Carlos; Gorodner, M. V.; Omelanczuck, Pablo; Elli, Fernando; Moser, Federico; Durand, Luis; Caracoche, Miguel; Nefa, Jorge; Bustos, Sergio Sánchez; Donahue, Philip E.; Ferraina, Pedro

doi:10.1016/j.gassur.2005.06.026

Cited by 146 publications

(92 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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 third was not expanded upon. Galvani et al [16] and Horgan et al [18] reported no conversions to laparoscopy or laparotomy during robotic esophagomyotomies when reporting 54 and 59 cases respectively.…”

Section: Conversionsmentioning

confidence: 99%

“…The mean TCT in the robotic esophagomyotomy series ranged from 95 -355 minutes [11,14,[16][17][18][19]. Huffman et al [14] reported the longest operative time with an average of 355 minutes, however they measured their case time from induction of anesthesia to extubation as opposed to skin incision to skin closure.…”

Section: Total Case Timementioning

confidence: 99%

“…In our series, seventy percent of the patients had a toupet fundoplication (partial 270˚ posterior wrap) in addition to the esophagomyotomy. In other studies [14,16,18], the patients had a dorr fundoplication (partial 180˚ anterior wrap) in addition to the esophagomyotomy. Compared to the dorr fundoplication, the toupet fundoplication is technically more difficult and time consuming, requiring mobilization of the entire gastroesophageal junction circumferentially.…”

Section: Total Case Timementioning

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

View full text Add to dashboard Cite

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.

show abstract

Section: Comparison Of Results To Published Literature Complicationssupporting

confidence: 77%

Section: Conversionsmentioning

confidence: 99%

Section: Total Case Timementioning

confidence: 99%

Section: Total Case Timementioning

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

View full text Add to dashboard Cite

show abstract

“…Studies comparing robotic vs laparoscopic myotomy showed perforation rates of 0 vs 6% respectively, attributing these results to enhanced visualization of muscular layers and more precise movements [7,8].…”

mentioning

confidence: 99%

Robotics in General Surgery: Update and Future Perspectives

Bravo¹,

Mc²,

Js³

et al. 2015

Adv Robot Autom

View full text Add to dashboard Cite

Medicine is going through a technological revolution that produces a paradigm shift and makes us think in new ways of treating and diagnosing our patients [1]. Minimally invasive surgery development and routine application in multiple procedures has been the main evolution in the last 50 years, bringing great benefits to patients, surgeons, hospitals and even insurance companies.In laparoscopic surgery the surgeon keeps control by handling patient's tissues inside an insufflated cavity with an external fulcrum point for instrumentation. It changes drastically in robotic surgery, with the surgeon taking place in a virtual environment outside the operative field, with a distant and indirect control. SAGES defines robotic surgery as a surgical procedure that adds a computer technology enhancement interface to the interaction between the surgeon and his patient during a surgical operation and assumes some degree of control heretofore completely reserved for the surgeon.Surgical robots have been envisioned to overcome the limitations and extend the capabilities of human surgeons, allowing them to perform precise and reproducible tasks [2]. Its performance is rooted in the strengths and weaknesses of laparoscopic surgery, being able to avoid the fulcrum effect, overcome the limited range of movements and depth perception, and dismiss the surgeon physiological tremor, while keeping its minimally invasive nature [3].Robotic surgery or computer-assisted surgery is an interactive system fast and intuitive that allows the computer to disappear from the surgeon's mind, who senses as real the environment generated by the system. Through virtual reality, the surgeon defines the manoeuvres that the robot performs in the patient. The consolemanipulator device can be placed in the same operating room, or in a different place, or eventually in another city or country [4,5].Robotic or remote tele-presence surgery is based in two fundamental concepts: virtual reality and cybernetics. Virtual reality achieves 3D immersion effects, navigation, interaction and simulation in real time, making real what the surgeon sees and touches. Cybernetics makes possible the movement digitalisation, promoting the development of mechanical articulated parts programmed with motion degrees, cameras, sensors, information saving and data processing.So far tele-presence surgery uses slave robots that are not programmed to do any movement without surgeon's command, and therefore are completely dependent on his judgement, knowledge and skills. It has a structure that resembles the anatomy of human arms and articulations, capable of imitating movements such as those from shoulders, elbows, wrists and fingers, but exceeding its natural range of motion and increasing the degree of freedom. Da Vinci System® by Intuitive Surgical Inc, the most commonly used device, consists of a surgeon's console, a slave robot with four interactive arms, instruments, a graphic interface and a camera. This design allows the surgeon to operate from a seated position with ergonom...

show abstract

Surgery for Esophageal Motor Disorders

Parker

Swanström

2021

The Esophagus

View full text Add to dashboard Cite

Robotic-Assisted Heller Myotomy Versus Laparoscopic Heller Myotomy for the Treatment of Esophageal Achalasia: Multicenter Study

Cited by 146 publications

References 20 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

Robotics in General Surgery: Update and Future Perspectives

Surgery for Esophageal Motor Disorders

Contact Info

Product

Resources

About