Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature. Issue 1 (28th May 2014)

• Record Type: Journal Article
• Authors: Morelli, Luca; Guadagni, Simone; Mariniello, Maria Donatella; Pisano, Roberta; D'Isidoro, Cristiano; Belluomini, Mario Antonio; Caprili, Giovanni; Candio, Giulio Di.; Mosca, Franco
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 11:Issue 1(2015)
• Page Start: 1
• Page End: 7
• Publication Date: 2014-05-28
• Subjects: Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1595
• Languages: English
• ISSNs: 1478-5951

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="rcs1595-sec-0001" sec-type="section"> <title>Background</title> <p>While conventional laparoscopic repair for giant hiatal hernias is considered difficult, robotic technology is likely to result in an improved postoperative course.</p> </sec> <sec id="rcs1595-sec-0002" sec-type="section"> <title>Methods</title> <p>We prospectively analysed patients with giant hiatal hernias who underwent robotic repair during a 3 year period. Preoperative data, operative variables, complications, clinical outcomes and anatomical recurrence after 1 year were evaluated.</p> </sec> <sec id="rcs1595-sec-0003" sec-type="section"> <title>Results</title> <p>Six patients with giant hiatal hernias underwent robotic repair using the Da Vinci surgical system. The mean operative time was 182 min. The mean hospital stay was 6 days. No patients required reoperation for disease recurrence, and all claimed the absence of postoperative symptoms.</p> </sec> <sec id="rcs1595-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Robotic approaches can minimize surgical trauma in patients with giant hiatal hernias and result in favourable outcomes in terms of anatomical recurrence and quality of life. With the availability of the da Vinci System, all patients with giant hiatal hernias can be offered a minimally invasive surgical option. Copyright © 2014 John Wiley &amp; Sons, Ltd.</p> </sec> </abstract>