Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature

Morelli, Luca; Guadagni, Simone; Mariniello, Maria Donatella; Pisano, Roberta; D’Isidoro, C; Belluomini, Mario Antonio; Caprili, G; Candio, Giulio Di; Mosca, Franco

doi:10.1002/rcs.1595

Cited by 25 publications

(21 citation statements)

References 25 publications

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“…In a 3-year prospective assessment, Morelli et al (2015) [27] analyzed six patients with giant hiatal hernias who underwent robotic repair using the da Vinci Surgical System. The average operating time was 182 minutes.…”

Section: Discussionmentioning

confidence: 99%

Robotic voluminous paraesophageal hernia repair: a case report and review of the literature

Tartaglia¹,

Pavone²,

Lascia³

et al. 2020

J Med Case Reports

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Background: The treatment for sliding esophageal hernia with mild gastroesophageal reflux is usually conservative, but surgical treatment is recommended for refractory sliding esophageal hernia, paraesophageal hernia liable to prolapse, or paraesophageal hernia with ulceration and/or stenosis. Robotic surgery overcomes laparoscopic pitfalls by providing steady-state three-dimensional visualization, augmented dexterity with endo-wrist movements, and superior ergonomics for the surgeon. Case presentation: To investigate robotic paraesophageal hernia repair, a literature search was conducted using PubMed with the following key words: mini invasive surgery, robotic surgery, hiatal hernia, and Nissen fundoplication. We present the case of a 44-year-old Italian woman with a 20-year history of gastroesophageal reflux disease refractory to medical treatment, who underwent robotic Nissen fundoplication. In our center, we use the da Vinci® Xi™ Surgical System, which is an advanced tool for minimally invasive surgery. Conclusions: Various reports published in the literature suggested that the robot-assisted approach was effective and was associated with very low postoperative morbidity and was accompanied by satisfactory symptomatic and anatomical radiological outcomes during a follow-up period. The robotic approach to paraesophageal repair is safe and effective with low complication rates. With increased experience, the operative time, length of stay, and complications decrease without compromising surgical principles.

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Section: Discussionmentioning

confidence: 99%

Robotic voluminous paraesophageal hernia repair: a case report and review of the literature

Tartaglia¹,

Pavone²,

Lascia³

et al. 2020

J Med Case Reports

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“…Among these papers were 10 literature reviews [9,[32][33][34][35][36][37][38][39][40], complemented with a meta-analysis in four [33,34,38,40]. These reviews described up to five randomized controlled trials [10,[41][42][43][44], 17 cohorts, case-control studies, or caseseries [11,[45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60]. One paper described pilot data to a later published RCT [61], two were case-reports [62,63].…”

Section: Robot-assisted Antireflux Surgery; Review Of Literaturementioning

confidence: 99%

“…Among these papers were 10 literature reviews , complemented with a meta‐analysis in four . These reviews described up to five randomized controlled trials , 17 cohorts, case‐control studies, or case‐series . One paper described pilot data to a later published RCT , two were case‐reports .…”

Section: Robot‐assisted Antireflux Surgery; Review Of Literaturementioning

confidence: 99%

Robot‐assisted laparoscopic hiatal hernia and antireflux surgery

Tolboom

Broeders

Draaisma

2015

Journal of Surgical Oncology

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Gastroesophageal reflux disease is a common disorder of the GE-junction that allows gastric acid to enter the esophagus. Surgery is indicated when the presence of the disease is objectively documented. The laparoscopic Toupet fundoplication is the preferred treatment of GERD. There is no clear advantage in robotic assistance for primary antireflux surgery. In our center we find the robot to be of added value for redo surgery or large and giant hiatal repair.

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“…1 While conventional laparoscopic repair for giant hiatal hernias is considered difficult, robotic technology is likely to result in an improved postoperative course. 2 Morelli et al 3 in their prospective study of 3 years with robotic da Vinci system included 6 patients for giant hiatal hernia repair, they showed that robotic approach in hiatal hernia repair can minimize the surgical trauma and lead to less anatomical recurrence and better quality of life.…”

Section: Introduction/backgroundmentioning

confidence: 98%

Robotic-Assisted Hiatal Hernia Surgery with the Da Vinci System: A 2-Year Experience in a Single Institution

et al. 2015

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Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature

Cited by 25 publications

References 25 publications

Robotic voluminous paraesophageal hernia repair: a case report and review of the literature

Robotic voluminous paraesophageal hernia repair: a case report and review of the literature

Robot‐assisted laparoscopic hiatal hernia and antireflux surgery

Robotic-Assisted Hiatal Hernia Surgery with the Da Vinci System: A 2-Year Experience in a Single Institution

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