Early operative outcomes and learning curve of robotic assisted giant paraesophageal hernia repair. Academic Article uri icon

Overview

abstract

  • BACKGROUND: We have previously described our technique of robotic-assisted giant paraesophageal hernia repair (RA-GPEHR). The purpose of this study was to report our initial experience, early outcomes and learning curve with RA-GPEHR using a four-arm robotic platform. METHODS: 24 consecutive patients presenting with symptomatic giant paraesophageal hernias (GPEH) underwent RA-GPEHR from April 2011 to February 2014. Peri-operative data and short-term patient outcomes were assessed by retrospective review of a prospectively maintained database. RESULTS: Median age was 62 years (range 44-84). 15 (63%) patients underwent fundoplication and 9 (37%) gastropexy. Median procedure time was 277 min (range: 185-485) and decreased steadily over the experience. There were no intra-operative complications or surgical mortality. No patients experienced dysphagia in the early post-operative period. CONCLUSIONS: RA-GPEHR is safe, with reported short-term operative and functional outcomes similar to conventional laparoscopic approaches. The initial learning curve appears relatively short for experienced minimally invasive esophageal surgeons. Copyright © 2016 John Wiley & Sons, Ltd.

publication date

  • February 29, 2016

Research

keywords

  • Fundoplication
  • Hernia, Hiatal
  • Herniorrhaphy
  • Robotic Surgical Procedures
  • Thoracic Surgical Procedures

Identity

PubMed Central ID

  • PMC5182165

Scopus Document Identifier

  • 84959461285

Digital Object Identifier (DOI)

  • 10.1002/rcs.1730

PubMed ID

  • 26928955

Additional Document Info

volume

  • 13

issue

  • 1