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

Tartaglia, Nicola; Pavone, Giovanna; Lascia, Alessandra Di; Maddalena, Francesca; Fersini, Alberto; Pacilli, Mario; Ambrosi, Antonio

doi:10.1186/s13256-020-2347-6

Cited by 18 publications

(9 citation statements)

References 28 publications

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“…The most used access is laparoscopic, with better exposure of the gastroesophageal transition, facilitating myotomy, and fundoplication. 6 – 8 , 11 The main advantages of the laparoscopic approach compared to thoracotomy is greater safety, less postoperative pain, shorter hospital stays and systemic inflammatory response, and a faster return to work activities. However, there are still few reports of similar treatment using the robotic platform that results are expected to be close to better than laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Giant Esophageal Epiphrenic Diverticulum Using Robotic-Assisted Surgery

Sommer¹,

Grossi²,

Harada³

et al. 2021

CRSLS

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Epiphrenic diverticulum is a rare condition associated with esophageal motor disorder, and it is often asymptomatic, with a well-established surgical indication. The present study aims to report a case of a giant epiphrenic diverticulum in a 68-year-old male patient who, due to the symptoms, opted for surgical treatment using the daVinci® system. Robotic surgery consisting of esophageal diverticulectomy with cardiomyotomy was performed. The patient had an excellent recovery with an abbreviated hospitalization, return to food, and satisfactory routine activity.

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Section: Discussionmentioning

confidence: 99%

Treatment of Giant Esophageal Epiphrenic Diverticulum Using Robotic-Assisted Surgery

Sommer¹,

Grossi²,

Harada³

et al. 2021

CRSLS

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“…The rapidly spreading outbreaks imposes an unprecedented burden of the effectiveness and sustainability of our healthcare system [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

How emergency surgery has changed during the COVID-19 pandemic: A cohort study

Tartaglia

Pavone

Lizzi

et al. 2020

Annals of Medicine and Surgery

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Introduction Various surgical societies constantly update their recommendations in order to adapt surgical activity on current Pandemic conditions. The aim of this study is to analyze how hospitalizations and emergency operations have changed in our Department of Medical and Surgical Sciences in the Hospital of Foggia during covid-19 pandemic. Methods Our cohort-study was conducted by analyzing two groups of patients admitted to the Department of Medical and Surgical Sciences of the Hospital of Foggia: those admitted during the no-covid period from March 09th, 2019 to May 09th, 2019 and those during the covid period from March 09th, 2020 to May 09th, 2020. Results A total of 750 patients admitted during the no-covid period of 2019 and 171 during the covid period of 2020, of these 222 were emergency admission during 2019 and 97 during 2020, 528 were elective admission during 2019 and 74 during 2020. Of the emergency admissions (222 during 2019 and 97 during 2020), 91 were operated during the no covid period in 2019 and 52 during the covid period in 2020. The mean Mannheim Peritonitis Index Score, that is a scoring system used in peritonitis which is simple and cost-effective, were 15.6 during the no covid period of 2019 and 22.2 during the covid period of 2020. We observed 29 post-operative complications during 2019 and 26 during 2020. Conclusions Contraction of admissions for urgent and emergent conditions in the first period of lockdown has been followed from some positive effects as well as aggravating consequences.

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“…Although most of the esophageal hiatal hernia has been operated by laparoscopy, and even a large hernia can be repaired by robot in the abdominal cavity [21], for the doctors who are familiar with intrathoracic hernia repair in the past, although it is difficult to perform transthoracic hernia repair with thoracoscopy in the past, it can be completed well with the help of robot. Robot assisted cardiac achalasia RAHD (robotic assisted Heller Dor procedure) operation ensures the delicacy of esophagotomy with low incidence of intraoperative and postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted esophageal surgery using the da Vinci® Xi system for Benign and malignant diseases of esophagus：Preliminary experience of robot assisted modified Sweet operation

Sun

Wang

et al. 2020

Preprint

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Background Since our hospital installed the DaVinci ® Xi system, we have performed 60 thoracic surgeries in four months. As 25 of these 60 patients contain various types of esophageal benign and malignant diseases, we have no time to summarize our work after understanding and learning the experience of previous experts, so as to share our preliminary experience in using DaVinci ® Xi system in esophageal surgery. Because robot surgery system is the most effective for small and hard to reach areas, we have made many attempts in benign esophageal diseases. Compared with DaVinci ® Si, DaVinci ® Xi has many new functions, so we explore new surgical methods for some special esophageal cancer cases, such as the robot assisted modified Sweet operation.Methods Using DaVinci® Xi system(Intuitive Surgical, China), we performed robotic assisted thoracoscopic surgery (RATS) on 15 patients with esophageal cancer and 10 patients with various types of esophageal benign diseases. Among all esophageal cancer patients, 6 patients with lower esophageal cancer underwent resection of left thoracic esophageal cancer and lymphadenectomy, then diaphragm was cut, stomach was separated from abdominal cavity and lymphadenectomy was performed. Finally, 5 cases were anastomosed with stomach and esophagus under the aortic arch, and 1 case was anastomosed with stomach and esophagus in the neck combined with mediastinoscopic neck lymphadenectomy. McKeown was performed in 3 of the other 9 cases. Six patients underwent the Ivor Lewis operation, one of them was converted to the left thoracogastrostomy because of the extensive adhesion of the right thoracic cavity. Other benign diseases included esophageal leiomyomectomy in 3 cases, esophageal diverticulum in 1 case, hiatal hernia in 4 cases, esophageal cyst in 1 case, achalasia in 1 case. Results All the procedures were successfully completed by robot except one patient with extensive adhesion of right thoracic cavity and only abdominal operation. The median operation time of esophageal cancer patients was 286（240-348 minutes,There were no complications during operation. One patient had a neck anastomotic leakage and the wound healed after local washing for 3 weeks. Because of the short time of observation, there is no death of malignant tumor and no serious complication of benign disease. Conclusions Through the experience of such a small series of robotic assisted thoracoscopic surgery for various esophageal diseases, we support the impression that: 1. The esophagus is an ideal organ for robotic surgery, which is a good indication for malignant tumor surgery; 2. Under the vision of the robot, each layer of esophageal mucosa can be seen clearly, which is very conducive to the resection of small leiomyoma or cyst In addition, 3. Flexible arms can be used for various anastomosis or suture operations. 4. Through the left thorax and diaphragm incision can be used as a "robot" Sweet operation for the right patient, with mediastinoscopy to clean up the upper mediastinal lymph nodes can achieve better results.

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

Cited by 18 publications

References 28 publications

Treatment of Giant Esophageal Epiphrenic Diverticulum Using Robotic-Assisted Surgery

Treatment of Giant Esophageal Epiphrenic Diverticulum Using Robotic-Assisted Surgery

How emergency surgery has changed during the COVID-19 pandemic: A cohort study

Robot-assisted esophageal surgery using the da Vinci® Xi system for Benign and malignant diseases of esophagus：Preliminary experience of robot assisted modified Sweet operation

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