<i>Utilization and Outcomes of Laparoscopic Versus Open Paraesophageal Hernia Repair</i>

Nguyen, Ninh T.; Christie, Catherine; Masoomi, Hossein; Matin, Taraneh; Laugenour, Kelly; Hohmann, Samuel F.

doi:10.1177/000313481107701018

Cited by 64 publications

(25 citation statements)

References 13 publications

(17 reference statements)

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“…Although it is a technically challenging procedure, it has been proven to be safe and effective and is associated with excellent long-term patient outcomes in large reported series [15][16][17]. The procedure has the advantages of a minimally invasive approach, such as reduced postoperative pain, lower morbidity, and shorter hospital stay when compared to the open approach [18]. There are certain recognized pitfalls of laparoscopy, which include unstable video camera platform, limited motion (degrees of freedom) of straight laparoscopic instruments, two-dimensional imaging, and poor ergonomics for the surgeon [19].…”

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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“…Laparoscopic repair is associated with better outcomes compared with open repair, as measured by overall complication rates, hospital length of stay, cost, and readmission rate. 18 Multiple series have demonstrated that laparoscopic repair improves patient symptoms, including heartburn, regurgitation, chest pain, dysphagia, dyspnea, and overall quality of life. 17,19 Despite the superiority of laparoscopic repair, the long-term hernia recurrence rate exceeds 50% even in high-volume centers.…”

Section: Discussionmentioning

confidence: 99%

Paraesophageal Hernia Repair: Techniques for Success

Cohn

Soper

2017

Journal of Laparoendoscopic & Advanced Surgical Techniques

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With the introduction of laparoscopy, the outcomes of patients undergoing paraesophageal hernia repair have improved dramatically. When the fundamentals of a proper repair are followed, patients can expect to have improvement in gastroesophageal reflux symptoms, including heartburn, regurgitation, chest pain, dysphagia, and dyspnea. Adhering to these principles will alleviate patients' symptoms and avoid reoperation. This article describes the approach to paraesophageal hernia repair, including patient evaluation, operative technique, and postoperative management. Esophageal lengthening and crural reinforcement with mesh are addressed as well. Adhering to the basic techniques outlined in this article should lead to successful and durable patient outcomes following a paraesophageal hernia repair.

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“…La mortalidad fue de 0.4% para la laparoscopia versus 0% para los abiertos. 20 Lo anterior está de acuerdo con nuestros resultados, donde tuvimos una estancia hospitalaria promedio de 3.68 días; ningún paciente requirió terapia intensiva; el porcentaje de complicaciones fue del 5 al 15%, todas ellas pulmonares, principalmente, sin readmisión a los 30 días.…”

Section: Discussionunclassified