Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature
| Autor: | Franco Mosca, Cristiano D'Isidoro, Simone Guadagni, Giulio Di Candio, Giovanni Caprili, Luca Morelli, Maria Donatella Mariniello, Mario Antonio Belluomini, Roberta Pisano |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Hiatal hernia repair
medicine.medical_specialty business.industry Biophysics Robotic Surgical Procedures medicine.disease digestive system diseases Da Vinci Surgical System Prospective evaluation Computer Science Applications Surgery Hiatal hernia surgical procedures operative Quality of life medicine Robotic surgery Prospective cohort study business |
| Zdroj: | The International Journal of Medical Robotics and Computer Assisted Surgery. 11:1-7 |
| ISSN: | 1478-5951 |
| Popis: | Background While conventional laparoscopic repair for giant hiatal hernias is considered difficult, robotic technology is likely to result in an improved postoperative course. Methods 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. Results 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. Conclusions 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 & Sons, Ltd. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text