Robotic–Assisted Laparoscopic Pediatric Heller's Cardiomyotomy: Initial Case Report

Chaer, Rabih A.; Jacobsen, Garth R.; Elli, Fernando; Harris, Jason L.; Goldstein, Adam; Horgan, Santiago

doi:10.1089/lap.2004.14.270

Cited by 24 publications

(17 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[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.…”

Section: Discussionmentioning

confidence: 99%

“…[13] Most studies in children have supported using surgical Heller's myotomy for long-term outcomes since the introduction of minimal surgical techniques. [5,[14][15][16][17] Recently, endoscopic peroral esophageal myotomy (POEM) has also been described. Inoue H. et al performed the first POEM in adults in 2008.…”

Section: Discussionmentioning

confidence: 99%

“…[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.…”

Section: Discussionmentioning

confidence: 99%

“…Precise high-definition imaging allows the surgeon to see all muscle fibers, which thus decreases the likelihood of mucosal perforation. [5] Both laparoscopic and robotic-assisted esophageal myotomy are comparable in terms of feasibility, safety, and longterm symptomatic relief. [24,25] However, robotic surgery is superior in terms of mucosal perforation.…”

Section: Discussionmentioning

confidence: 99%

“…[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.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Robot-assisted Heller’s myotomy for achalasia in children

Altokhais

Mandora

Alqahtani

et al. 2016

Computer Assisted Surgery

View full text Add to dashboard Cite

Background: Achalasia is rare in children. Surgical options include open, laparoscopic and robotic approaches. However, Heller's myotomy remains the treatment of choice. This report describes our experience with robot-assisted Heller's myotomy in children and presents a review of the literature. Methods: Included in this study are children who underwent robot-assisted Heller's myotomy for esophageal achalasia via the Da Vinci surgical system between 2004 and 2015 at King Saud University Medical City, Riyadh, Saudi Arabia. The medical records of these patients were reviewed for demographic data, presenting symptoms, diagnostic modalities, operative procedures, complications, outcomes and follow-ups. Results: Six patients were identified. The age of the patients at surgery ranged between 2 and 12 years (mean 7.1 years). The most common presenting symptoms were dysphagia, vomiting and nocturnal cough. Contrast swallow and upper gastrointestinal endoscopy established a diagnosis of esophageal achalasia in all of the patients. Four patients underwent esophageal dilatation 2-5 times before the definitive procedure. All patients underwent successful robot-assisted Heller's myotomy with concomitant partial posterior fundoplication. The postoperative course was uneventful. Five patients had a complete resolution of the symptoms and one patient improved. The follow-up assessments have been consistent and have ranged from 0.5 to 11 years (mean 4.4 years). Conclusion: Robotic-assisted Heller's myotomy for esophageal achalasia in children is safe and effective and is a suitable alternative to open and laparoscopic approaches.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Robot-assisted Heller’s myotomy for achalasia in children

Altokhais

Mandora

Alqahtani

et al. 2016

Computer Assisted Surgery

View full text Add to dashboard Cite

show abstract

Robotic transaxillary thyroidectomy with gasless approach in a girl with goitre

Kandil

Noureldine

Khalek

et al. 2012

Robotics Computer Surgery

View full text Add to dashboard Cite

Background Robotic‐assisted transaxillary thyroidectomy is a minimally invasive approach for the removal of the thyroid through the axilla. This technique eliminates a visible scar and affords excellent optics of the cervical anatomy. We sought to describe the technique and outcome for transaxillary gasless subtotal thyroidectomy in the paediatric population. Methods A 13 year‐old female with an enlarged goitre underwent a transaxillary robot‐assisted gasless subtotal thyroidectomy in an academic institution. The main outcome measures were feasibility of the robotic approach, patient and gland characteristics, operative time and complications. Results There was no conversion to laparoscopic or open surgery. The robotic docking time was 110 min and total operative time was 150 min. The patient tolerated the procedure well. Estimated blood loss was 10 ml. The patient was discharged within 24 h. There were no perioperative or postoperative complications. In addition there was no evidence of postoperative vocal cord palsy or paresis. Conclusions This initial experience demonstrates that this technique can be a feasible, safe and effective method for subtotal thyroidectomy in the paediatric population. The use of robotic technology for endoscopic thyroid surgery could overcome the limitations of conventional endoscopic surgeries in the surgical management of thyroid disease. Copyright © 2012 John Wiley & Sons, Ltd.

show abstract

Robotic Assisted Laparoscopic Cardiomyotomy (Heller Myotomy) in Achalasia: Austria

Augustin

Wykypiel

2018

Atlas of Robotic Thoracic Surgery

View full text Add to dashboard Cite

Robotic–Assisted Laparoscopic Pediatric Heller's Cardiomyotomy: Initial Case Report

Cited by 24 publications

References 10 publications

Robot-assisted Heller’s myotomy for achalasia in children

Robot-assisted Heller’s myotomy for achalasia in children

Robotic transaxillary thyroidectomy with gasless approach in a girl with goitre

Robotic Assisted Laparoscopic Cardiomyotomy (Heller Myotomy) in Achalasia: Austria

Contact Info

Product

Resources

About